Provider Demographics
NPI:1427206168
Name:WILLIAMS, JAMIYLA BRACEY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIYLA
Middle Name:BRACEY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JAMIYLA
Other - Middle Name:RONNIQUE
Other - Last Name:BRACEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:14243 WATERFOWL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-1644
Mailing Address - Country:US
Mailing Address - Phone:704-974-2944
Mailing Address - Fax:704-919-1086
Practice Address - Street 1:14243 WATERFOWL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-1644
Practice Address - Country:US
Practice Address - Phone:704-974-2944
Practice Address - Fax:704-919-1086
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2008-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18911183500000X
NJ28RI03035400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist