Provider Demographics
NPI:1588670541
Name:DENNETT, WILLIAM S (RPH)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:S
Last Name:DENNETT
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 1:9 CLARRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-1337
Mailing Address - Country:US
Mailing Address - Phone:508-368-9631
Mailing Address - Fax:508-368-9234
Practice Address - Street 1:10 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2898
Practice Address - Country:US
Practice Address - Phone:508-368-9631
Practice Address - Fax:508-368-9234
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist