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General NPI Number Information
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NPI Number | 1952005571
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Entity Type | Individual
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Provider Name | ANTHONY B WILLIAMS
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Gender | Male
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 11800 ARTESIA BLVD
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City | ARTESIA
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State | CA
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Zip | 90701-4003
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Country | US
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Telephone | 562-924-7718
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Fax |
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Provider Business Mailing Address
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Address Line | 13449 FELSON ST
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City | CERRITOS
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State | CA
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Zip | 90703-8910
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Country | US
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Telephone | 562-525-9483
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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 | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY45434
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN162089
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License Number State | CA
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