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NPI Code Detail

MEDICARE: JERRITT WILLIAMS PHARMD

MEDICARE: JERRITT WILLIAMS 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
1183500000XPharmacist27032TN

General Provider Information

NPI Number : 1720361330
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERRITT WILLIAMS PHARMD
Provider Business Mailing Address
First Line : 2209 RICHMOND RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2209 RICHMOND RD
Second Line :
City : LEXINGTON
State : KY
Zip : 40502-1306
Country : US
Telephone Number : 859-269-8832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ JERRITT WILLIAMS PHARMD” Practice Location

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