MEDICARE: WILLIAMS DRUG COMPANY

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	333600000X	Pharmacy	31570	TX
2	3336C0004X	Compounding Pharmacy
3	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851818249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS DRUG COMPANY

Provider Business Mailing Address
First Line	:	12401 ALCANZA DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-1963
Country	:	US
Telephone Number	:	580-678-4784
Fax Number	:

Provider Business Practice Location Address
First Line	:	8916 BRODIE LANE SUITE 300
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78748-7874
Country	:	US
Telephone Number	:	512-362-8083
Fax Number	:	512-362-8550

Authorized Official
Title or Position	:	OWNER/PHARMACIST
Name	:	AARON WILLIAMS
Credential	:	PHARMD
Telephone Number	:	580-678-4784

Provider Enumeration Date	:	08/25/2017
Last Update Date	:	04/14/2020

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Directions to “WILLIAMS DRUG COMPANY ” Practice Location

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