NPI Code Details Logo

NPI 1003615154

NPI 1003615154 : WILLIAMS BROS HEALTH CARE PHARMACY INC : INDIANAPOLIS, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1003615154
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WILLIAMS BROS HEALTH CARE PHARMACY INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    03/11/2025
-----------------------------------------------------
    Last Update Date     |    08/27/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5550 S EAST ST STE E 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46227-1991
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-554-8061
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 271 
-----------------------------------------------------
    City                 |    WASHINGTON
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    47501-0271
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    812-254-2497
-----------------------------------------------------
    Fax                  |    812-257-2592
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COMPLIANCE OFFICER
-----------------------------------------------------
    Name                 |     AMY  PFOFF 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    812-254-2497
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    332B00000X
-----------------------------------------------------
    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.