Provider Demographics
NPI:1295050151
Name:DIXON, WILLIAM CAYLOR JR (RPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CAYLOR
Last Name:DIXON
Suffix:JR
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 1:15073 S US HIGHWAY 231
Mailing Address - Street 2:
Mailing Address - City:MIDLAND CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36350-6305
Mailing Address - Country:US
Mailing Address - Phone:334-983-4191
Mailing Address - Fax:334-983-5178
Practice Address - Street 1:15073 S US HIGHWAY 231
Practice Address - Street 2:
Practice Address - City:MIDLAND CITY
Practice Address - State:AL
Practice Address - Zip Code:36350-6305
Practice Address - Country:US
Practice Address - Phone:334-983-4191
Practice Address - Fax:334-983-5178
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL100841835P0018X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL100002671Medicaid