William C Charles, PHARMD
Individual provider Active NPI Pharmacotherapy Pharmacist · Pine Ridge, SD
NPI 1780116665 · NPPES record last updated Mar 30, 2017
Key facts
- NPI
- 1780116665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacotherapy Pharmacist 1835P1200X
- License
- 20206 (MD)
- Practice address
- Hwy 18
Pine Ridge, SD 57770 - Phone
- (605) 867-5131
- NPI assigned
- Mar 30, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20206 | MD | MD | Pharmacotherapy Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 20206 | MD | Yes |
Addresses
Primary practice location
Hwy 18
Pine Ridge, SD 57770
Mailing address
PO Box 1201
East Highway 18
Pine Ridge, SD 57770
Other providers in Pine Ridge, SD
- Hector Ivan Burgos
- Sarah R Caldwell
- Glenda Kay Capler
- Karen L Carpio
- Ruth L Cedar Face
- Melva A Clifford
- Mary Elizabeth Colhoff
- Cathy T Combs
- Julie Coomes
- Fernando Cosme
All providers in Pine Ridge, SD · Pharmacotherapy Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.