Provider Demographics
NPI:1255586715
Name:BERWICK, WILLIAM C III
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
Last Name:BERWICK
Suffix:III
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:C
Other - Last Name:BERWICK
Other - Suffix:III
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:6 BAIRD CT
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4713
Mailing Address - Country:US
Mailing Address - Phone:717-249-6768
Mailing Address - Fax:
Practice Address - Street 1:6 BAIRD CT
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4713
Practice Address - Country:US
Practice Address - Phone:717-249-6768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP025314L1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist