NPI 1174707681 · live from the CMS NPI Registry
William Glen Decker, PHARM.D.
Pharmacist in Wasilla, AK. National Provider Identifier 1174707681, active.
NPI record
| NPI | 1174707681 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 3674 E Country Field Cir, Medset, Wasilla, AK 99654 |
| Practice phone | 907-376-8200 |
| Mailing address | 3674 E Country Field Cir, Wasilla, AK 99654 |
| Enumerated | December 19, 2007 |
| Last updated | February 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 4740953-1701 (UT) |
| Pharmacist primary | 183500000X | 2007 (AK) |
| Pharmacist | 183500000X | P6491 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.