Individual
KIM WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
7353 SISTERS GRV, COLORADO SPRINGS, CO 80923-2615
(719) 355-1046
Mailing address
4893 YOUNG GULCH WAY, COLORADO SPRINGS, CO 80924-2902
(719) 210-1890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0019772
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA.0019772
PHARMACY LICENSE NUMBER
CO
Enumeration date
09/16/2020
Last updated
09/16/2020
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