# PHYSICIAN RX SOURCE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Physician Rx Source
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003125832
- **Authorized official:** EMILY WILLIAMSON (OWNER RPH)
- **Authorized official phone:** (256) 216-1514

## Contact information

- **Practice address:** 118 W MARKET ST, ATHENS, AL 35611-2556
- **Practice address phone:** (256) 216-1514
- **Practice address fax:** (256) 216-1831
- **Mailing address:** 118 W MARKET ST, ATHENS, AL 35611-2556
- **Mailing address phone:** (256) 216-1514
- **Mailing address fax:** (256) 216-1831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 113428 | AL | Yes |

## Other

- **Enumeration date:** 09/28/2010
- **Last updated:** 04/25/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0136778 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |