Provider Demographics
NPI:1023631967
Name:PRESCOTT, WILLIAM ALLAN JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ALLAN
Last Name:PRESCOTT
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 PHARMACY BUILDING
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14260-0001
Mailing Address - Country:US
Mailing Address - Phone:716-645-4780
Mailing Address - Fax:
Practice Address - Street 1:218 PHARMACY BUILDING
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-0001
Practice Address - Country:US
Practice Address - Phone:716-645-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-27
Last Update Date:2020-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist