NPI | 1174567143 |
---|---|
Doing Business As | WILLIAMS BROS. LONG TERM CARE PHARMACY |
Entity Type | Organization |
Authorized Contact | CHARLES CLAYBORNE WILLIAMS Owner/Chief Strategy Officer 812-254-2497 |
Organization Subpart ? | No |
Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy (Licence: IN 60005280) |
Additional Taxonomies | 251F00000X Home Infusion (Licence: IN 60005280A) |
332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 60005280A) | |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: IN 60005280) | |
Enumeration Date | 2006-06-16 |
Last Update Date | 2024-04-10 |