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NPI Code Detail

MEDICARE: ELIZABETH MARIE WILLIAMS RPH

MEDICARE:   ELIZABETH MARIE 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
1183500000XPharmacist28RI01784300NJ
2183500000XPharmacistPS56225FL

General Provider Information

NPI Number : 1952869505
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH MARIE WILLIAMS RPH
Provider Business Mailing Address
First Line : 10550 OLD SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-8660
Country : US
Telephone Number : 904-380-8274
Fax Number :
Provider Business Practice Location Address
First Line : 10550 OLD SAINT AUGUSTINE RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32257-8660
Country : US
Telephone Number : 904-380-8274
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2019
Last Update Date : 03/19/2020

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Directions to “ ELIZABETH MARIE WILLIAMS RPH” Practice Location

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