Provider Demographics
NPI:1851831077
Name:WILLIAMS, MARILOU DELLA (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:MARILOU
Middle Name:DELLA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 MILAN RD STE 200
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7801
Mailing Address - Country:US
Mailing Address - Phone:419-627-8283
Mailing Address - Fax:
Practice Address - Street 1:5500 MILAN RD STE 200
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-7801
Practice Address - Country:US
Practice Address - Phone:419-627-8283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03135697183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist