Provider Demographics
NPI:1447340864
Name:BUCHANAN, WILLIAM NORRIS JR (RPH)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:NORRIS
Last Name:BUCHANAN
Suffix:JR
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 1:14702 VIEWCREST RD SW
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-5829
Mailing Address - Country:US
Mailing Address - Phone:301-729-4829
Mailing Address - Fax:
Practice Address - Street 1:1101 E OLDTOWN RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-4039
Practice Address - Country:US
Practice Address - Phone:301-722-5100
Practice Address - Fax:301-724-0224
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10942183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD10942OtherPHARMACIST LICENSE NUMBER
WV4381OtherPHARMACIST LICENSE NUMBER