Provider Demographics
NPI:1184051310
Name:HARRISON, WILLIAM STAPP (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:STAPP
Last Name:HARRISON
Suffix:
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 1:3301 VETERANS DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4173
Mailing Address - Country:US
Mailing Address - Phone:256-766-0600
Mailing Address - Fax:256-766-0602
Practice Address - Street 1:3301 VETERANS DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4173
Practice Address - Country:US
Practice Address - Phone:256-766-0600
Practice Address - Fax:256-766-0602
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15901183500000X
TN22513183500000X
MSP12358183500000X
KY015702183500000X
VA0202211166183500000X
NE13730183500000X
LA19684183500000X
ARPD11749183500000X
OR12883183500000X
AZ19363183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist