IndividualActive
William Wantland, RPH
NPI 1053916692 · Pharmacist · Centralia, IL
William Wantland, RPH is a Pharmacist provider in Centralia, IL (NPI 1053916692).
Provider details
- NPI number
- 1053916692
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- 040629 (IL)
Practice location
225 N Poplar St
Centralia, IL 62801-3234
Phone: (618) 532-4158
Street-level locationGet directions
Mailing address
225 N Poplar St
Centralia, IL 62801-3234
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.