Provider Demographics
NPI:1649550757
Name:LINK, WILLIAM EDWIN JR (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:EDWIN
Last Name:LINK
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1612 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-4953
Mailing Address - Country:US
Mailing Address - Phone:910-763-0845
Mailing Address - Fax:910-762-6916
Practice Address - Street 1:1612 MARKET ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-4953
Practice Address - Country:US
Practice Address - Phone:910-763-0845
Practice Address - Fax:910-762-6916
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7043183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist