Individual
MRS. LEAH K WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MADISON, CLARENDON, AR 72029
(870) 747-3304
(870) 747-5324
Mailing address
9169 HIGHWAY 70, BRINKLEY, AR 72021-9459
(870) 734-4841
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD06331
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1291951
—
LA
01
—
281107-48-001
STATE SALES TAX
AR
Enumeration date
09/25/2006
Last updated
07/08/2007
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