Provider Demographics
NPI:1811088289
Name:DUNN, WILLIAM A (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:DUNN
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 1:710 HORATIO ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-1400
Mailing Address - Country:US
Mailing Address - Phone:561-707-5168
Mailing Address - Fax:
Practice Address - Street 1:710 HORATIO ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-1400
Practice Address - Country:US
Practice Address - Phone:315-738-0759
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2023-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL36199183500000X
NY069008183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist