National Provider Identifier

William Joseph Bacon, RPH

William Joseph Bacon, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Elmira, NY and a listed phone number of (607) 737-4311.

NPI 1699957035Elmira, NYPharmacist

Profile Overview

NPI
1699957035
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
November 28, 2007
Last Updated
November 28, 2007

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4311

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1699957035
Entity Type
Individual
Last Name
Bacon
First Name
William
Middle Name
Joseph
Name Prefix
Mr.
Credential
RPH
Mailing Street Address
600 Roe Ave
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1629
Mailing Country
US
Mailing Phone
(607) 737-4311
Mailing Fax
(607) 737-7760
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4311
Practice Fax
(607) 737-7760
Enumeration Date
November 28, 2007
Last Updated
November 28, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)