Provider Demographics
NPI:1780180810
Name:WILLIAMS, ALLISON RICHMOND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:RICHMOND
Last Name:WILLIAMS
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 1:46 LEYLAND LN
Mailing Address - Street 2:
Mailing Address - City:ELKVIEW
Mailing Address - State:WV
Mailing Address - Zip Code:25071-9696
Mailing Address - Country:US
Mailing Address - Phone:304-222-0229
Mailing Address - Fax:
Practice Address - Street 1:1001 WARRIOR WAY
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:WV
Practice Address - Zip Code:25015-1300
Practice Address - Country:US
Practice Address - Phone:304-220-3008
Practice Address - Fax:304-220-3002
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVRP0009289183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist