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NPI Code Detail

MEDICARE: DR. LARRY KARL WILLIAMS PHARMD.

MEDICARE: DR. LARRY KARL 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
1183500000XPharmacist51677TX

General Provider Information

NPI Number : 1972140143
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LARRY KARL WILLIAMS PHARMD.
Provider Business Mailing Address
First Line : 6991 OLD JACKSONVILLE HWY
Second Line :
City : TYLER
State : TX
Zip : 75703-0579
Country : US
Telephone Number : 903-747-3508
Fax Number : 866-248-6799
Provider Business Practice Location Address
First Line : 6991 OLD JACKSONVILLE HWY
Second Line :
City : TYLER
State : TX
Zip : 75703-0579
Country : US
Telephone Number : 903-747-3508
Fax Number : 866-248-6799
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2019
Last Update Date : 12/05/2019

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