Provider Demographics
NPI:1346657053
Name:WILLIAMS, GERMAINE (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:GERMAINE
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 E BEN WHITE BLVD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-7502
Mailing Address - Country:US
Mailing Address - Phone:737-843-3219
Mailing Address - Fax:833-573-0103
Practice Address - Street 1:5900 E BEN WHITE BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741
Practice Address - Country:US
Practice Address - Phone:737-843-3219
Practice Address - Fax:833-573-0103
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26025496A183500000X
TX56583183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist