Provider Demographics
NPI:1841996493
Name:CARMON, WILLIAM MCDONALD (PHARMD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MCDONALD
Last Name:CARMON
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 HUNTLEY CV
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-7318
Mailing Address - Country:US
Mailing Address - Phone:901-857-7637
Mailing Address - Fax:
Practice Address - Street 1:577 N GERMANTOWN PKWY
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6211
Practice Address - Country:US
Practice Address - Phone:901-758-1591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN46742183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist