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NPI Code Detail

MEDICARE: MARK THOMAS WILLIAMS R.PH.

MEDICARE: MARK THOMAS WILLIAMS R.PH.
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
1183500000XPharmacist21424TX

General Provider Information

NPI Number : 1659608594
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK THOMAS WILLIAMS R.PH.
Provider Business Mailing Address
First Line : 1620 S GORDON ST
Second Line :
City : ALVIN
State : TX
Zip : 77511-3460
Country : US
Telephone Number : 281-585-2404
Fax Number :
Provider Business Practice Location Address
First Line : 1620 S GORDON ST
Second Line :
City : ALVIN
State : TX
Zip : 77511-3460
Country : US
Telephone Number : 281-585-2404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2009
Last Update Date : 11/13/2009

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