Healthcare Provider Details

I. General information

NPI: 1598249336
Provider Name (Legal Business Name): CAMERON JOSEPH WILLIAMS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 E PITTSBURGH ST
GREENSBURG PA
15601-2602
US

IV. Provider business mailing address

2475 STATE ROUTE 130
LATROBE PA
15650-3958
US

V. Phone/Fax

Practice location:
  • Phone: 724-834-0960
  • Fax:
Mailing address:
  • Phone: 724-961-2576
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP452749
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: