Individual
MR. WILLIAM PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5008 WILLIAMS HWY, GRANTS PASS, OR 97527-7703
(541) 218-6731
Mailing address
5008 WILLIAMS HWY, GRANTS PASS, OR 97527-7703
(541) 471-2820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9594
OR
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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