Organization
PHYSICIAN RX SOURCE
Active
Other names
Physician Rx Source
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY WILLIAMSON (OWNER RPH)
(256) 216-1514
Entity
Organization
Contact information
Practice address
118 W MARKET ST, ATHENS, AL 35611-2556
(256) 216-1514
(256) 216-1831
Mailing address
118 W MARKET ST, ATHENS, AL 35611-2556
(256) 216-1514
(256) 216-1831
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
113428
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0136778
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/28/2010
Last updated
04/25/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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