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General NPI Number Information
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NPI Number | 1124084918
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Entity Type | Individual
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Provider Name | LOUIS HENRY WILLIAMS JR. PHARMD.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1880 W OAK PKWY STE 104
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City | MARIETTA
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State | GA
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Zip | 30062-2274
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Country | US
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Telephone | 219-201-3120
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Fax |
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Provider Business Mailing Address
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Address Line | 3209 AVIARY CT NW
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City | ACWORTH
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State | GA
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Zip | 30101-5746
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Country | US
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Telephone | 219-201-3120
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26018413A
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License Number State | IN
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