Provider Demographics
NPI:1326636929
Name:WILLIAMS, CHARLSIE RHEA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHARLSIE
Middle Name:RHEA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S 12TH ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-2916
Mailing Address - Country:US
Mailing Address - Phone:270-753-7688
Mailing Address - Fax:270-753-6782
Practice Address - Street 1:604 S 12TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2916
Practice Address - Country:US
Practice Address - Phone:270-753-7688
Practice Address - Fax:270-753-6782
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY016134183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist