Healthcare Provider Details

I. General information

NPI: 1669206298
Provider Name (Legal Business Name): THE C. W. WILLIAMS COMMUNITY HEALTH CENTER PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 OLD PINEVILLE RD STE 101
CHARLOTTE NC
28217-4106
US

IV. Provider business mailing address

5800 OLD PINEVILLE RD STE 101 SUITE 101
CHARLOTTE NC
28217-4106
US

V. Phone/Fax

Practice location:
  • Phone: 704-393-7720
  • Fax: 704-398-3173
Mailing address:
  • Phone: 704-393-7720
  • Fax: 704-398-3173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DEBRA E WEEKS
Title or Position: CEO
Credential:
Phone: 704-393-8015