Provider Demographics
NPI:1164747028
Name:WILLIAMS, KARRY LEE (PHARMD, ATC)
Entity Type:Individual
Prefix:DR
First Name:KARRY
Middle Name:LEE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 HWY 31
Mailing Address - Street 2:
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640
Mailing Address - Country:US
Mailing Address - Phone:256-773-6291
Mailing Address - Fax:256-773-9456
Practice Address - Street 1:1201 HWY 31
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640
Practice Address - Country:US
Practice Address - Phone:256-773-6291
Practice Address - Fax:256-773-9456
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist