Organization Name: | COLLEGE OF WILLIAM & MARY |
NPI Number: | 1023303757 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAUREEN BOUNDS (PHARMACIST IN CHARGE) |
Mailing Address: | 1 Gooch Dr Williamsburg |
State: | VA US |
Postal Code: | 23185 |
Phone Number: | 7572212190 |
Fax Number: | 7572211245 |
NPI Enumeration Date: | 06/10/2011 |
NPI Last Update Date: | 06/10/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS1000X |
License Number: | 0201001314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Student Health |
Taxonomy Definition: |