Healthcare Provider Details

I. General information

NPI: 1043329097
Provider Name (Legal Business Name): JULIE JEAN WILLIAMS R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 BARNHILL DR ROC 1201
INDIANAPOLIS IN
46202-5128
US

IV. Provider business mailing address

4257 HICKORY RIDGE BLVD
GREENWOOD IN
46143-7464
US

V. Phone/Fax

Practice location:
  • Phone: 317-274-8283
  • Fax: 317-278-0792
Mailing address:
  • Phone: 317-274-8283
  • Fax: 317-278-0792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number26016757A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: