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NPI Code Detail

MEDICARE: WILLIAMS BROS. HEALTH CARE PHARMACY, INC.

MEDICARE: WILLIAMS BROS. HEALTH CARE PHARMACY, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1053275305
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS BROS. HEALTH CARE PHARMACY, INC.
Provider Business Mailing Address
First Line : PO BOX 270
Second Line :
City : WASHINGTON
State : IN
Zip : 47501-0270
Country : US
Telephone Number : 812-254-2497
Fax Number : 812-254-2592
Provider Business Practice Location Address
First Line : 574 S LANDMARK AVE
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47403-3239
Country : US
Telephone Number : 812-254-2497
Fax Number : 812-254-2592
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : CHARLES CLAYBORNE WILLIAMS III
Credential : RPH
Telephone Number : 812-254-2487
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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