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Individual

DR. WILLIAM FRANKLIN BAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD. RPH

Contact information

Practice address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 208-6684
(574) 367-2026
Mailing address
415 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 208-6684
(574) 367-2026

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26021519A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26021519A
STATE LICENSE
IN
Enumeration date
05/10/2017
Last updated
05/10/2017
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