Provider Demographics
NPI:1992258032
Name:SKEELER, WILLIAM TYLER (PHARMD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:TYLER
Last Name:SKEELER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 W WILLIAM CANNON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-1794
Mailing Address - Country:US
Mailing Address - Phone:512-892-1933
Mailing Address - Fax:512-892-0765
Practice Address - Street 1:6200 W WILLIAM CANNON DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78749-1794
Practice Address - Country:US
Practice Address - Phone:512-892-1933
Practice Address - Fax:512-892-0765
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-25
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58607183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist