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General NPI Number Information
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NPI Number | 1770388787
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Entity Type | Organization
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Legal Business Name | WILLIAMS BROS HEALTH CARE PHARMACY INC
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 101 W BRUMFIELD AVE
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City | PRINCETON
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State | IN
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Zip | 47670-1304
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Country | US
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Telephone | 812-386-5194
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 271
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City | WASHINGTON
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State | IN
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Zip | 47501-0271
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Country | US
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Telephone | 812-254-2497
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Fax | 812-257-2592
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Authorized Official
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Title or Position | CEO/OWNER
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Name | CHARLES CLAYBORNE WILLIAMS III
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Credential | RPH
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Telephone | 812-254-2497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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