Provider Demographics
NPI:1265823017
Name:CLAIR, WILLIAM R IV (RPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:R
Last Name:CLAIR
Suffix:IV
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1128 AUDUBON PL
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-9033
Mailing Address - Country:US
Mailing Address - Phone:843-442-9672
Mailing Address - Fax:
Practice Address - Street 1:1128 AUDUBON PL
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-9033
Practice Address - Country:US
Practice Address - Phone:843-442-9672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist