Organization
WILLIAMSBURG PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER SETH RUBY PHARMD (PRESIDENT)
(240) 527-5556
Entity
Organization
Contact information
Practice address
318 E 1ST ST, WILLIAMSBURG, PA 16693-1006
(814) 407-4742
(814) 407-4957
Mailing address
318 E 1ST ST, WILLIAMSBURG, PA 16693-1006
(814) 407-4742
(814) 407-4957
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103792802-0001
—
PA
Enumeration date
01/15/2024
Last updated
01/15/2024
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