Provider Demographics
NPI:1891924833
Name:WILLIAMS, DANIEL S (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:S
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 W CHERRY ST
Mailing Address - Street 2:SUITE 129
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8573
Mailing Address - Country:US
Mailing Address - Phone:614-214-0128
Mailing Address - Fax:
Practice Address - Street 1:801 W CHERRY ST
Practice Address - Street 2:SUITE 129
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8573
Practice Address - Country:US
Practice Address - Phone:614-214-0128
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03226148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist