Provider Demographics
NPI:1972635381
Name:WILLIAMSON, RENE LAJUAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:LAJUAN
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 1:11810 BROOKEVILLE LANDING CT
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-4503
Mailing Address - Country:US
Mailing Address - Phone:301-249-5776
Mailing Address - Fax:
Practice Address - Street 1:11810 BROOKEVILLE LANDING CT
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-4503
Practice Address - Country:US
Practice Address - Phone:301-249-5776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08473183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist