Provider Demographics
NPI:1376828665
Name:WILLIAMS, YOLANDA DOUGLAS (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:YOLANDA
Middle Name:DOUGLAS
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 1:211 DIAMOND HEAD DR.
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-9208
Mailing Address - Country:US
Mailing Address - Phone:859-421-3366
Mailing Address - Fax:
Practice Address - Street 1:211 DIAMOND HEAD DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2877
Practice Address - Country:US
Practice Address - Phone:859-421-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-18
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16973183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist