Provider Demographics
NPI:1124084918
Name:WILLIAMS, LOUIS HENRY JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:HENRY
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3209 AVIARY CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-5746
Mailing Address - Country:US
Mailing Address - Phone:219-201-3120
Mailing Address - Fax:
Practice Address - Street 1:1880 W OAK PKWY STE 104
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062-2274
Practice Address - Country:US
Practice Address - Phone:219-201-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26018413A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN00216300Medicaid
1285400001Medicare ID - Type Unspecified