Provider Demographics
NPI:1750605184
Name:JEFFERY, WILLIAM B (RPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:B
Last Name:JEFFERY
Suffix:
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 1:2225 S PRICE RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-7201
Mailing Address - Country:US
Mailing Address - Phone:877-250-5823
Mailing Address - Fax:
Practice Address - Street 1:2225 S PRICE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7201
Practice Address - Country:US
Practice Address - Phone:877-250-5823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-13
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS010316183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist