MEDICARE: SHARON WILLIAMS

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
1	183500000X	Pharmacist	043164	MO

General Provider Information

NPI Number	:	1073952941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON WILLIAMS

Provider Business Mailing Address
First Line	:	217 SALT LICK RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-5974
Country	:	US
Telephone Number	:	636-970-3510
Fax Number	:

Provider Business Practice Location Address
First Line	:	217 SALT LICK RD
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-5974
Country	:	US
Telephone Number	:	636-970-3510
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2013
Last Update Date	:	06/24/2013

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Directions to “ SHARON WILLIAMS ” Practice Location

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