MEDICARE: WILLIAMS BROS. HEALTH CARE PHARMACY, INC

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	251F00000X	Home Infusion Agency	60005280A	IN
2	332B00000X	Durable Medical Equipment & Medical Supplies	60005280A	IN
3	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	60005280	IN
4	3336L0003X	Long Term Care Pharmacy	60005280	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60005280	OTHER	IN	PHARMACY LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1533579	OTHER		NABP

General Provider Information

NPI Number	:	1174567143
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS BROS. HEALTH CARE PHARMACY, INC

Provider Business Mailing Address
First Line	:	7 WILLIAMS BROS DRIVE
Second Line	:
City	:	WASHINGTON
State	:	IN
Zip	:	47501-4535
Country	:	US
Telephone Number	:	812-257-2505
Fax Number	:	812-257-2506

Provider Business Practice Location Address
First Line	:	2000 STATE ST
Second Line	:
City	:	WASHINGTON
State	:	IN
Zip	:	47501-8505
Country	:	US
Telephone Number	:	812-257-2505
Fax Number	:	812-257-2506

Authorized Official
Title or Position	:	OWNER/CHIEF STRATEGY OFFICER
Name	:	MR. CHARLES CLAYBORNE WILLIAMS III
Credential	:	R.PH.
Telephone Number	:	812-254-2497

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	08/27/2025

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