Provider Demographics
NPI:1871883413
Name:PINTER, WILLIAM DALE (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DALE
Last Name:PINTER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1186 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48340-2708
Mailing Address - Country:US
Mailing Address - Phone:248-333-7057
Mailing Address - Fax:248-333-8097
Practice Address - Street 1:1186 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-2708
Practice Address - Country:US
Practice Address - Phone:248-333-7057
Practice Address - Fax:248-333-8097
Is Sole Proprietor?:No
Enumeration Date:2011-04-17
Last Update Date:2011-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302020236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist