Provider Demographics
NPI:1457606063
Name:WILLIAMSON, DONNA HARVEY (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:HARVEY
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 SOUTH MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051
Mailing Address - Country:US
Mailing Address - Phone:205-669-6713
Mailing Address - Fax:205-669-7351
Practice Address - Street 1:111 S MAIN ST
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:AL
Practice Address - Zip Code:35051-5357
Practice Address - Country:US
Practice Address - Phone:205-669-6713
Practice Address - Fax:205-669-7351
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist