Basic Information
Provider Information
NPI: 1003154816
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THURMAN
FirstName: WILLIAM
MiddleName: SCOTT
NamePrefix:  
NameSuffix:  
Credential: RPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1913
Address2:  
City: CASHIERS
State: NC
PostalCode: 287171913
CountryCode: US
TelephoneNumber: 8287436312
FaxNumber: 8287431973
Practice Location
Address1: 230 HIGHWAY 64 EAST
Address2:  
City: CASHIERS
State: NC
PostalCode: 287171913
CountryCode: US
TelephoneNumber: 8287436312
FaxNumber: 8287431973
Other Information
ProviderEnumerationDate: 01/29/2013
LastUpdateDate: 01/29/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000XRPH014624GAN Pharmacy Service ProvidersPharmacist 
183500000XPS 29724FLN Pharmacy Service ProvidersPharmacist 
183500000X2140TNN Pharmacy Service ProvidersPharmacist 
183500000X11282NCY Pharmacy Service ProvidersPharmacist 

No ID Information.


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