Provider Demographics
NPI:1912298357
Name:MCLAUGHLIN, WILLIAM HENRY (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HENRY
Last Name:MCLAUGHLIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:MR
Other - First Name:WILLIAM
Other - Middle Name:HENRY
Other - Last Name:MCLAUGHLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:1940 BETHLEHEM RD
Mailing Address - Street 2:HOME ADDRESS
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27803-1509
Mailing Address - Country:US
Mailing Address - Phone:252-908-7243
Mailing Address - Fax:
Practice Address - Street 1:1630 BENVENUE RD
Practice Address - Street 2:BUSINESS PRACTICE LOCATION ADDRESS
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-6344
Practice Address - Country:US
Practice Address - Phone:252-908-7243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-19
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist