MEDICARE: ANGELA MORRIS 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
1	183500000X	Pharmacist	18994	NC

General Provider Information

NPI Number	:	1972839504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MORRIS WILLIAMS RPH

Provider Business Mailing Address
First Line	:	PO BOX 1837
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-1837
Country	:	US
Telephone Number	:	919-639-9623
Fax Number	:	919-639-9670

Provider Business Practice Location Address
First Line	:	253 NORTH RALEIGH STREET
Second Line	:
City	:	ANGIER
State	:	NC
Zip	:	27501-1837
Country	:	US
Telephone Number	:	919-639-9623
Fax Number	:	919-639-9670

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2009
Last Update Date	:	10/22/2013

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