Healthcare Provider Details
I. General information
NPI: 1326647249
Provider Name (Legal Business Name): WILLIAMS BROS. HEALTH CARE PHARMACY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/21/2020
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1998 STATE ST
WASHINGTON IN
47501
US
IV. Provider business mailing address
PO BOX 271
WASHINGTON IN
47501-0271
US
V. Phone/Fax
- Phone: 812-254-2497
- Fax:
- Phone: 812-254-2497
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336S0011X |
| Taxonomy | Specialty Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336M0002X |
| Taxonomy | Mail Order Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MARK
A
WILLIAMS
Title or Position: OWNER
Credential: RPH
Phone: 812-257-8731