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NPI Code Detail

MEDICARE: MICHELE WILLIAMS

MEDICARE: MICHELE 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
1183500000XPharmacist03316876OH

General Provider Information

NPI Number : 1194325803
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE WILLIAMS
Provider Business Mailing Address
First Line : 10816 N LAURENS SQ NE
Second Line :
City : BOLIVAR
State : OH
Zip : 44612-8871
Country : US
Telephone Number : 330-447-3102
Fax Number :
Provider Business Practice Location Address
First Line : 4572 MEGA ST NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7098
Country : US
Telephone Number : 330-305-0037
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2020
Last Update Date : 10/30/2020

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Directions to “ MICHELE WILLIAMS ” Practice Location

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