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NPI Code Detail

MEDICARE: BRETT WILLIAMS R.PH

MEDICARE:   BRETT  WILLIAMS  R.PH
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
1183500000XPharmacist040486MO

General Provider Information

NPI Number : 1528274784
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT WILLIAMS R.PH
Provider Business Mailing Address
First Line : 14331 WAINRIDGE DR
Second Line :
City : CHESTERFIELD
State : MO
Zip : 63017-2929
Country : US
Telephone Number : 314-575-1761
Fax Number :
Provider Business Practice Location Address
First Line : 7010 PERSHING AVE
Second Line :
City : UNIVERSITY CITY
State : MO
Zip : 63130-4318
Country : US
Telephone Number : 314-727-4854
Fax Number : 314-727-1724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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