MEDICARE: DR. LOUIS HENRY WILLIAMS JR. PHARMD.

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	26018413A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124084918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS HENRY WILLIAMS JR. PHARMD.

Provider Business Mailing Address
First Line	:	3209 AVIARY CT NW
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-5746
Country	:	US
Telephone Number	:	219-201-3120
Fax Number	:

Provider Business Practice Location Address
First Line	:	1880 W OAK PKWY STE 104
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2274
Country	:	US
Telephone Number	:	219-201-3120
Fax Number	:

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	06/25/2025

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