Provider Demographics
NPI:1447535109
Name:DOARES, WILLIAM HUMPHREY III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HUMPHREY
Last Name:DOARES
Suffix:III
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:WAKE FOREST BAPTIST HEALTH
Mailing Address - Street 2:MEDICAL CENTER BOULEVARD
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-0001
Mailing Address - Country:US
Mailing Address - Phone:336-713-9410
Mailing Address - Fax:336-713-3401
Practice Address - Street 1:WAKE FOREST BAPTIST HEALTH
Practice Address - Street 2:MEDICAL CENTER BOULEVARD
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-0001
Practice Address - Country:US
Practice Address - Phone:336-713-9410
Practice Address - Fax:336-713-3401
Is Sole Proprietor?:No
Enumeration Date:2011-10-13
Last Update Date:2011-10-13
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC124311835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist