Provider Demographics
NPI:1184767709
Name:WILLIAMS, GRETA LOCKHART (BS PHARMACY)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:LOCKHART
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BS PHARMACY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7395 COTTON PLANT CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-8950
Mailing Address - Country:US
Mailing Address - Phone:901-758-0198
Mailing Address - Fax:
Practice Address - Street 1:135 N PAULINE ST FL 4
Practice Address - Street 2:COMMUNITY BEHAVIORAL HEALTH
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-4619
Practice Address - Country:US
Practice Address - Phone:901-577-6167
Practice Address - Fax:901-577-6180
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN82961835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric