Provider Demographics
NPI:1912136169
Name:WILLIAMS, CHRISTOPHER KEITH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:KEITH
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 1:600 301 BLVD W
Mailing Address - Street 2:SUITE 144
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-7957
Mailing Address - Country:US
Mailing Address - Phone:941-748-4501
Mailing Address - Fax:941-741-2981
Practice Address - Street 1:600 301 BLVD W
Practice Address - Street 2:SUITE 144
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-7957
Practice Address - Country:US
Practice Address - Phone:941-748-4501
Practice Address - Fax:941-741-2981
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS428121835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist