Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. William J Supalla, RPH

Individual provider Pharmacist · NPI 1760520373

Mr. William J Supalla, RPH is a Pharmacist in Fairmont, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

322 S State St Five Lakes Ctr
Fairmont, MN 56031-4139
Phone: (507) 238-2797
Fax: (507) 238-4701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 111504-6 (MN)

Record details

NPI number1760520373
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedFebruary 3, 2007
Last updated in NPPESJuly 8, 2007

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