Organization
WILLIAMS BROS HEALTH CARE PHARMACY INC
Active
Other names
Williams Bros Health Care Pharmacy Inc, Williams Bros Health Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CLAYBORNE WILLIAMS III R.PH (OWNER/CHIEF STRATEGY OFFICER)
(812) 254-2497
Entity
Organization
Contact information
Practice address
104 E BROADWAY ST, LOOGOOTEE, IN 47553-2007
(812) 295-4370
(812) 295-4383
Mailing address
104 E BROADWAY ST, LOOGOOTEE, IN 47553-2007
(812) 295-4370
(812) 295-4383
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
60006177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200923180A
—
IN
01
—
2117989
PK
—
Enumeration date
11/26/2008
Last updated
08/27/2025
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