Organization
DAVID M WILLIAMS ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT A NICHOLS RPH (PHARMACIST / PRESIDENT)
(941) 524-7056
Entity
Organization
Contact information
Practice address
1824 59TH ST W, BRADENTON, FL 34209-4630
(941) 794-2026
(941) 794-2446
Mailing address
PO BOX 14003, BRADENTON, FL 34280-4003
(941) 794-2026
(941) 794-2446
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PH24132
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH24132
LICENSE
FL
Enumeration date
07/16/2009
Last updated
03/07/2023
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