MEDICARE: MR. RICHARD ARNOLD WILLIAMS RPH

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	183500000X	Pharmacist	25689	NY

General Provider Information

NPI Number	:	1104913169
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD ARNOLD WILLIAMS RPH

Provider Business Mailing Address
First Line	:	5950 MARROWBACK RD
Second Line	:
City	:	CONESUS
State	:	NY
Zip	:	14435-9541
Country	:	US
Telephone Number	:	585-346-2551
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 SHEATHER ST
Second Line	:
City	:	HAMMONDSPORT
State	:	NY
Zip	:	14840
Country	:	US
Telephone Number	:	607-569-2800
Fax Number	:

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

Provider Enumeration Date	:	10/09/2006
Last Update Date	:	07/08/2007

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