Organization
WILLIAMS PHARMACY HOLDINGS 1 LLC
Active
Other names
South Fork Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JOSEPH WILLIAMS PHARM.D (OWNER)
(304) 530-1044
Entity
Organization
Contact information
Practice address
732 N MAIN ST, MOOREFIELD, WV 26836-1021
(304) 530-1044
(304) 530-2681
Mailing address
732 N MAIN ST, MOOREFIELD, WV 26836-1021
(304) 530-1044
(304) 530-2681
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
SP055246
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144262
PK
—
05
—
3910005593
—
WV
Enumeration date
01/09/2014
Last updated
12/03/2020
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.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up