Provider Demographics
NPI:1477994077
Name:WILLIAMS, RILEY JAMES II (PHARMD)
Entity Type:Individual
Prefix:
First Name:RILEY
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 NE 13TH ST
Mailing Address - Street 2:PHARMACY SERVICE (119)
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5007
Mailing Address - Country:US
Mailing Address - Phone:405-456-5570
Mailing Address - Fax:405-456-5934
Practice Address - Street 1:921 NE 13TH ST
Practice Address - Street 2:PHARMACY SERVICE (119)
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5007
Practice Address - Country:US
Practice Address - Phone:405-456-5570
Practice Address - Fax:405-456-5934
Is Sole Proprietor?:No
Enumeration Date:2013-07-11
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS0199921835P1200X
FLPS496921835P1200X
OKR-158021835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy