Organization
WILLIAMS TYLERTOWN PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILLIAMS PHARM D (OWNER)
(985) 515-1524
Entity
Organization
Contact information
Practice address
201 HOSPITAL DR, TYLERTOWN, MS 39667-2019
(601) 222-1770
(601) 222-1772
Mailing address
PO BOX 1059, FRANKLINTON, LA 70438-1091
(985) 515-1524
(601) 222-1772
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
08/20/2024
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