Doctor Name: | MR. WILLIAM JOSEPH KEENAN |
NPI Number: | 1295039402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CPHT |
License Number: | T07045 |
Business Practice Address: | 8858 Waltham Woods Rd Parkville, MD - 212342402 |
Business Phone Number: | 4108828825 |
Business Fax Number: | 4108828841 |
Mailing Address: | 8858 Waltham Woods Rd, PARKVILLE |
State: | MD |
Postal Code: | 212342402 |
Phone Number: | 4108828825 |
Fax Number: | 4108828841 |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 08/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | T07045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |