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WILLIAMS BROS HEALTH CARE PHARMACY INC NPI 1366475113


NPI Information

NPI: 1366475113
Provider Name: WILLIAMS BROS HEALTH CARE PHARMACY INC
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 14D1084230

Address:
1216 WASHINGTON AVE
VINCENNES, IN
ZIP 47591
Phone: (812) 882-1800
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WILLIAMS BROS HEALTH CARE PHARMACY INC is a community/retail pharmacy pharmacy in Vincennes, IN. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. WILLIAMS BROS HEALTH CARE PHARMACY INC NPI is 1366475113. The provider is registered as an organization entity type.

The provider's business location address is:

1216 WASHINGTON AVE
VINCENNES, IN
ZIP 47591-245
Phone: (812) 882-1800
Fax: (812) 886-4042

The provider's authorized official is Charles Clayborne Williams .
The authorized official title is Owner/chief Strategy Officer and has the following contact phone number (812) 254-2497.

The CLIA number assigned to this NPI record is 14D1084230 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/10/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies60006379AINDIANANo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail Pharmacy054.018711ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200842380BMEDICAIDINDIANA
22144586OTHERPK
3300001152MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.