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

William Braxton Sisco, PHARMACIST

Individual provider Pharmacist · NPI 1861563991

William Braxton Sisco, PHARMACIST is a Pharmacist in Phoenix, Arizona. Licensed in Arizona and California. Registered with an NPI since 2006.

Licensed in
AZ, CA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

4212 N 16th St
Phoenix, AZ 85016-5319
Phone: (602) 263-1511
Fax: (602) 263-1619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 7580 (AZ)
Pharmacist Taxonomy 183500000X · Licence 28224 (CA)

Record details

NPI number1861563991
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMACIST
Sole proprietorNo
NPI enumeratedNovember 12, 2006
Last updated in NPPESJuly 8, 2007
Mailing address4212 N 16th St, Phoenix, AZ 85016-5319

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