MEDICARE: MISS DARLENE DA-SHUN WILLIAMS PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	40343	TX

General Provider Information

NPI Number	:	1093347494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DARLENE DA-SHUN WILLIAMS PHARM.D.

Provider Business Mailing Address
First Line	:	3300 MONTROSE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3932
Country	:	US
Telephone Number	:	713-526-1239
Fax Number	:	713-522-9867

Provider Business Practice Location Address
First Line	:	3300 MONTROSE BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77006-3932
Country	:	US
Telephone Number	:	713-526-1239
Fax Number	:	713-522-9867

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	02/04/2020

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