Provider Demographics
NPI:1366537706
Name:WIEST, WILLIAM DWIGHT (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:DWIGHT
Last Name:WIEST
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 1:664 QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9360
Mailing Address - Country:US
Mailing Address - Phone:717-569-2732
Mailing Address - Fax:717-544-3166
Practice Address - Street 1:2108 HARRISBURG PK. SUITE 314
Practice Address - Street 2:LIFECARE PHARMACY
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601
Practice Address - Country:US
Practice Address - Phone:717-544-3154
Practice Address - Fax:717-544-3166
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP032584L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist