Organization
MCWILLIAMS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT MCWILLIAMS RPH (OWNER)
(570) 275-1140
Entity
Organization
Contact information
Practice address
134 MILL ST, DANVILLE, PA 17821-1948
(570) 275-1140
(570) 275-3514
Mailing address
134 MILL ST, DANVILLE, PA 17821-1948
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PP410330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005734250001
—
PA
05
—
19057342501
—
PA
01
—
3916624
OTHER ID NUMBER
—
Enumeration date
10/04/2005
Last updated
08/31/2007
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