MEDICARE: KIMBERLY WILLIAMS RPH

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	29893	TX

General Provider Information

NPI Number	:	1679889422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY WILLIAMS RPH

Provider Business Mailing Address
First Line	:	7310 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7234
Country	:	US
Telephone Number	:	281-251-0255
Fax Number	:	281-251-1805

Provider Business Practice Location Address
First Line	:	7310 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7234
Country	:	US
Telephone Number	:	281-251-0255
Fax Number	:	281-251-1805

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	08/30/2010

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Directions to “ KIMBERLY WILLIAMS RPH” Practice Location

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