Provider Demographics
NPI:1104838770
Name:HESS, WILLIAM ALBERT (BSC IN PHARMACY)
Entity type:Individual
Prefix:PROF
First Name:WILLIAM
Middle Name:ALBERT
Last Name:HESS
Suffix:
Gender:M
Credentials:BSC IN PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LARTRY DR
Mailing Address - Street 2:
Mailing Address - City:RED LION
Mailing Address - State:PA
Mailing Address - Zip Code:17356-8920
Mailing Address - Country:US
Mailing Address - Phone:240-997-6851
Mailing Address - Fax:301-595-7933
Practice Address - Street 1:10903 NEW HAMPSHIRE
Practice Address - Street 2:WO32-ROOM 4152
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20993-0002
Practice Address - Country:US
Practice Address - Phone:301-796-8494
Practice Address - Fax:301-595-7933
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA29504183500000X
MD9461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist