Provider Demographics
NPI:1306138847
Name:MCINTYRE, WILLIAM (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:MCINTYRE
Suffix:
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 1:5244 GOLDEN RUN LN
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-3952
Mailing Address - Country:US
Mailing Address - Phone:724-346-9382
Mailing Address - Fax:
Practice Address - Street 1:1851 E STATE ST
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-1818
Practice Address - Country:US
Practice Address - Phone:724-981-2800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031260L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist