Healthcare Provider Details

I. General information

NPI: 1669397931
Provider Name (Legal Business Name): BRIANNA WILLIAMS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N LONGSTREET ST
KINGSTREE SC
29556-3330
US

IV. Provider business mailing address

1016 LONGRIDGE RD
MONCKS CORNER SC
29461-8380
US

V. Phone/Fax

Practice location:
  • Phone: 843-354-5565
  • Fax:
Mailing address:
  • Phone: 843-809-8502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number67947
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: