Provider Demographics
NPI:1417946138
Name:BILL, WILLIAM ANTHONY (PHARMD, RPH, CGP)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:BILL
Suffix:
Gender:M
Credentials:PHARMD, RPH, CGP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4291 NEW HAVEN RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-9217
Mailing Address - Country:US
Mailing Address - Phone:513-738-2978
Mailing Address - Fax:
Practice Address - Street 1:45 S MIAMI AVE
Practice Address - Street 2:
Practice Address - City:CLEVES
Practice Address - State:OH
Practice Address - Zip Code:45002-1216
Practice Address - Country:US
Practice Address - Phone:513-941-0428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-15
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-1-12314183500000X, 1835N1003X, 1835P1200X, 1835P1300X, 1835G0303X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P1300XPharmacy Service ProvidersPharmacistPsychiatric
No1835G0303XPharmacy Service ProvidersPharmacistGeriatric
No1835X0200XPharmacy Service ProvidersPharmacistOncology