Individual
JONATHAN G WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2480 ROCKY RIDGE RD, VESTAVIA, AL 35243-2833
(205) 979-1571
Mailing address
2480 ROCKY RIDGE RD, VESTAVIA, AL 35243-2833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21235
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21235
PHARMACIST LICENSE
AL
Enumeration date
12/23/2020
Last updated
12/23/2020
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