Provider Demographics
NPI:1912071192
Name:ANDREWS, WILLIAM DAVID (RPH CPH PD)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DAVID
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:RPH CPH PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1637 NE 36TH STREET
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6279
Mailing Address - Country:US
Mailing Address - Phone:954-942-0920
Mailing Address - Fax:954-942-0921
Practice Address - Street 1:1637 NE 36TH STREET
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6279
Practice Address - Country:US
Practice Address - Phone:954-942-0920
Practice Address - Fax:954-942-0921
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS0011979183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1054446OtherNABP
FLR4816OtherMEDICARE DME
FL0169190001Medicare ID - Type Unspecified