Provider Demographics
NPI:1952799942
Name:GARNER, WILLIAM GENE (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:GENE
Last Name:GARNER
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 1:11229 JORDAN CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7662
Mailing Address - Country:US
Mailing Address - Phone:303-709-0092
Mailing Address - Fax:
Practice Address - Street 1:11229 JORDAN CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7662
Practice Address - Country:US
Practice Address - Phone:303-709-0092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-30
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10349183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist