Provider Demographics
NPI:1295777233
Name:WILLIAMS, KARL G (RPH)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:G
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 SANDSPRING DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5447
Mailing Address - Country:US
Mailing Address - Phone:518-581-1051
Mailing Address - Fax:
Practice Address - Street 1:13 SANDSPRING DR
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5447
Practice Address - Country:US
Practice Address - Phone:518-581-1051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266951835G0303X
NY33882183500000X
KY9433183500000X
VT033-0003364183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Not Answered183500000XPharmacy Service ProvidersPharmacist