MEDICARE: WILLIAMS MEDCO 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	333600000X	Pharmacy	RP-0000585-CS	OR
2	333600000X	Pharmacy	RP0000585CS	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38-11216	OTHER		NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1639162217
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS MEDCO INC

Provider Business Mailing Address
First Line	:	916 W EVERGREEN BLVD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98660
Country	:	US
Telephone Number	:	360-213-2236
Fax Number	:	360-213-2238

Provider Business Practice Location Address
First Line	:	2515 NEWBURG HWY
Second Line	:
City	:	WOODBURN
State	:	OR
Zip	:	97071
Country	:	US
Telephone Number	:	503-981-3591
Fax Number	:	503-982-0566

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JACK L. HOLT
Credential	:	RPH
Telephone Number	:	503-981-3591

Provider Enumeration Date	:	08/29/2005
Last Update Date	:	11/01/2010

Similar Medicare Providers

1992664296 — STEPHANEE SHEDD CPNP-PC
Practice Location Address:

2050 PROGRESS WAY
WOODBURN, OR
97071-9764

Practice Phone: 503-981-5348
Practice Fax:

1073510194 — 3C2MD, INC.
Practice Location Address:

601 EVERGREEN RD
WOODBURN, OR
97071-2910

Practice Phone: 503-982-0111
Practice Fax: 503-982-2481

1538151857 — DR. CURTIS MARK CLIMER MD
Practice Location Address:

5697 DORIAN LN NE
WOODBURN, OR
97071-9200

Practice Phone: 503-881-9195
Practice Fax:

1003801564 — NICHOLAS P CABA DMD
Practice Location Address:

1018 N BOONES FERRY RD
WOODBURN, OR
97071-9602

Practice Phone: 503-981-1841
Practice Fax: 503-981-7334

1356336556 — DR. KENDALL FORSYTHE HORN DMD
Practice Location Address:

1240 GEORGE ST
WOODBURN, OR
97071-5203

Practice Phone: 503-981-5111
Practice Fax:

1992790687 — DR. ROGER JAY EPSTEIN M.D.
Practice Location Address:

693 GLATT CIR
WOODBURN, OR
97071-9600

Practice Phone: 503-873-8740
Practice Fax: 503-982-4898

Directions to “WILLIAMS MEDCO INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.