Organization
WILLIAMS DRUGS INC
Active
Other names
WILLIAMS DRUG STORE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAMS DPH (PRESIDENT)
(423) 345-3511
Entity
Organization
Contact information
Practice address
110 BELLAMY AVE, SURGOINSVILLE, TN 37873
(423) 345-3511
(423) 345-2181
Mailing address
PO BOX 74, SURGOINSVILLE, TN 37873-0074
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
BW1707
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4422440
OTHER ID NUMBER
—
Enumeration date
10/24/2006
Last updated
09/14/2007
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