# WILLIAMS FAMILY DRUG LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386689420
- **Authorized official:** SCOTT WILLIAMS RPH (OWNER)
- **Authorized official phone:** (435) 884-3285

## Contact information

- **Practice address:** 124 W MAIN ST, GRANTSVILLE, UT 84029-9621
- **Practice address phone:** (435) 884-3285
- **Practice address fax:** (435) 884-6873
- **Mailing address:** 124 W MAIN ST, GRANTSVILLE, UT 84029-9621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 61246091703 | UT | Yes |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 12/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4610475 | OTHER ID NUMBER | — |