Organization
WILLIAMS FAMILY DRUG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT WILLIAMS RPH (OWNER)
(435) 884-3285
Entity
Organization
Contact information
Practice address
124 W MAIN ST, GRANTSVILLE, UT 84029-9621
(435) 884-3285
(435) 884-6873
Mailing address
124 W MAIN ST, GRANTSVILLE, UT 84029-9621
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
61246091703
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4610475
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/20/2006
Last updated
12/17/2008
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