=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245362722
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WILLIAMS VALLEY PHARMACY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/11/2007
-----------------------------------------------------
Last Update Date | 05/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 226 E GRAND AVE
-----------------------------------------------------
City | TOWER CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17980-1124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-647-9523
-----------------------------------------------------
Fax | 717-647-9320
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 226 E GRAND AVE
-----------------------------------------------------
City | TOWER CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17980-1124
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-647-9523
-----------------------------------------------------
Fax | 717-647-9523
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | JULIE L. LETCHER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 717-647-9523
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | PP412238L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------