Provider Demographics
NPI:1518102003
Name:WILLIAMS, LINDA JEAN (CPHT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JEAN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 FRANKSTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:SIDMAN
Mailing Address - State:PA
Mailing Address - Zip Code:15955-4620
Mailing Address - Country:US
Mailing Address - Phone:814-495-4816
Mailing Address - Fax:
Practice Address - Street 1:1138 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:SIDMAN
Practice Address - State:PA
Practice Address - Zip Code:15955-4620
Practice Address - Country:US
Practice Address - Phone:814-495-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician