1104838770 NPI number — PROF. WILLIAM ALBERT HESS B.SC. IN PHARMACY

Table of content: PROF. WILLIAM ALBERT HESS B.SC. IN PHARMACY (NPI 1104838770)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104838770 NPI number — PROF. WILLIAM ALBERT HESS B.SC. IN PHARMACY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HESS
Provider First Name:
WILLIAM
Provider Middle Name:
ALBERT
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
B.SC. IN PHARMACY
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104838770
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
270 LARTRY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RED LION
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17356-8920
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
240-997-6851
Provider Business Mailing Address Fax Number:
301-595-7933

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10903 NEW HAMPSHIRE
Provider Second Line Business Practice Location Address:
WO32-ROOM 4152
Provider Business Practice Location Address City Name:
SILVER SPRING
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20993-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-796-8494
Provider Business Practice Location Address Fax Number:
301-595-7933
Provider Enumeration Date:
08/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  29504 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 183500000X , with the licence number: 9461 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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