Healthcare Provider Details

I. General information

NPI: 1790790301
Provider Name (Legal Business Name): WILLIAMS DRUGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2006
Last Update Date: 12/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 - 2ND ST
WEBSTER CITY IA
50595-1438
US

IV. Provider business mailing address

611 - 2ND ST
WEBSTER CITY IA
50595-1438
US

V. Phone/Fax

Practice location:
  • Phone: 515-832-1150
  • Fax: 515-832-1752
Mailing address:
  • Phone: 515-832-1150
  • Fax: 515-832-1752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number225
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number225
License Number StateIA

VIII. Authorized Official

Name: MRS. DENISE A RICKLEFS
Title or Position: PHARMACIST IN CHARGE
Credential: REGISTERED PHARMACIS
Phone: 515-832-1150