Provider Demographics
NPI:1457631996
Name:WILLIAMS, AARON (PHARM D)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 S THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-6330
Mailing Address - Country:US
Mailing Address - Phone:479-756-1355
Mailing Address - Fax:479-756-1501
Practice Address - Street 1:2002 S THOMPSON ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-6330
Practice Address - Country:US
Practice Address - Phone:479-756-1355
Practice Address - Fax:479-756-1501
Is Sole Proprietor?:No
Enumeration Date:2011-08-27
Last Update Date:2011-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD10247183500000X
OK13939183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist