Provider Demographics
NPI:1063025047
Name:WILLIAMS, ANDREW RA-HEEM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:RA-HEEM
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 RALEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5433
Mailing Address - Country:US
Mailing Address - Phone:757-763-8335
Mailing Address - Fax:
Practice Address - Street 1:3633 BRIDGE RD
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1807
Practice Address - Country:US
Practice Address - Phone:757-686-4793
Practice Address - Fax:757-638-7808
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0203016394183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist