Healthcare Provider Details

I. General information

NPI: 1497732028
Provider Name (Legal Business Name): WILLIAMS BROS. HEALTH CARE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2005
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 WILLIAMS BROTHERS DR
WASHINGTON IN
47501-4535
US

IV. Provider business mailing address

10 WILLIAMS BROS DRIVE
WASHINGTON IN
47501-4535
US

V. Phone/Fax

Practice location:
  • Phone: 812-254-2497
  • Fax: 812-257-2507
Mailing address:
  • Phone: 812-254-2497
  • Fax: 812-257-2507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHARLES CLAYBORNE WILLIAMS III
Title or Position: OWNER/CHIEF STRATEGY OFFICER
Credential: R. PH.
Phone: 812-254-2497