Healthcare Provider Details

I. General information

NPI: 1427482728
Provider Name (Legal Business Name): MELANIE DAWN WILLIAMS PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 08/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1071 S LAKE DR
LEXINGTON SC
29073-3719
US

IV. Provider business mailing address

5628 FESTIVAL TRAIL RD
SALLEY SC
29137-9110
US

V. Phone/Fax

Practice location:
  • Phone: 803-957-0605
  • Fax:
Mailing address:
  • Phone: 803-413-8117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number12098
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: