Individual
ANTHONY P WILLIAMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 BROADWAY, GARY, IN 46407-1309
(219) 885-6355
(219) 885-6415
Mailing address
7206 INDIAN BOUNDARY, GARY, IN 46403-1203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26017868A
IN
Other
Enumeration date
09/02/2011
Last updated
12/01/2020
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