Healthcare Provider Details

I. General information

NPI: 1861406464
Provider Name (Legal Business Name): RICK E. WILLIAMS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 S 1300 E
SANDY UT
84094-3763
US

IV. Provider business mailing address

2388 W 12960 S
RIVERTON UT
84065-8719
US

V. Phone/Fax

Practice location:
  • Phone: 801-501-2525
  • Fax: 801-501-2530
Mailing address:
  • Phone: 801-254-6091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number148294-1701
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: