Provider Demographics
NPI:1386065118
Name:WINBURN, WILLIAM BAILEY II (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:BAILEY
Last Name:WINBURN
Suffix:II
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 S WINBURN DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-7729
Mailing Address - Country:US
Mailing Address - Phone:843-245-6758
Mailing Address - Fax:843-664-0911
Practice Address - Street 1:SAMS CLUB 6571
Practice Address - Street 2:200 NORTH BELTLINE DRIVE
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501
Practice Address - Country:US
Practice Address - Phone:843-662-2769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-20
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7727183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist