Provider Demographics
NPI:1811551617
Name:WILLIAMS, ZACHARIAH F (PHARMD, MBA,CBCS)
Entity Type:Individual
Prefix:DR
First Name:ZACHARIAH
Middle Name:F
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHARMD, MBA,CBCS
Other - Prefix:DR
Other - First Name:ZACH
Other - Middle Name:F
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD, MBA, CBCS
Mailing Address - Street 1:1925 WARRIOR WAY
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:OK
Mailing Address - Zip Code:74820-3491
Mailing Address - Country:US
Mailing Address - Phone:580-272-5710
Mailing Address - Fax:580-272-5711
Practice Address - Street 1:1921 STONECIPHER DR
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:OK
Practice Address - Zip Code:74820-3439
Practice Address - Country:US
Practice Address - Phone:580-272-5710
Practice Address - Fax:580-272-5711
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-26
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty