Provider Demographics
NPI:1598056541
Name:WILLIAMSON, JENNY CAIN (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:JENNY
Middle Name:CAIN
Last Name:WILLIAMSON
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 1:702 HWY 278 BYPASS E
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:AL
Mailing Address - Zip Code:36272
Mailing Address - Country:US
Mailing Address - Phone:256-447-7779
Mailing Address - Fax:256-447-6054
Practice Address - Street 1:702 HWY 278 BYPASS E
Practice Address - Street 2:
Practice Address - City:PIEDMONT
Practice Address - State:AL
Practice Address - Zip Code:36272
Practice Address - Country:US
Practice Address - Phone:256-447-7779
Practice Address - Fax:256-447-6054
Is Sole Proprietor?:No
Enumeration Date:2011-04-26
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist