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NPI Code Detail

MEDICARE: WILLIAMS APOTHECARY INC

MEDICARE: WILLIAMS APOTHECARY INC
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
13336C0003XCommunity/Retail Pharmacy
23336L0003XLong Term Care PharmacyPP415122LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13974195OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720114135
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILLIAMS APOTHECARY INC
Provider Business Mailing Address
First Line : 1001 E OREGON RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-9205
Country : US
Telephone Number : 717-581-3950
Fax Number : 717-581-3952
Provider Business Practice Location Address
First Line : 1001 E OREGON RD
Second Line :
City : LITITZ
State : PA
Zip : 17543-9205
Country : US
Telephone Number : 717-581-3950
Fax Number : 717-581-3952
Authorized Official
Title or Position : PRES
Name : RICHARD WILLIAMS
Credential : RPH
Telephone Number : 717-393-3814
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/09/2012

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