Williams Ltc Pharmacy, Llc

LBN: Williams Ltc Pharmacy, Llc
Williams Ltc Pharmacy, Llc is an health care organization with primary practice located at 11900 Exit 5 Pkwy , Fishers IN 46037-7939. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Williams Ltc Pharmacy, Llc can be contacted via phone (317) 889-4125, or through Williams, Charles Clayborne via phone (812) 254-2497.

Contact Information

Primary practice address
11900 Exit 5 Pkwy Fishers IN 46037-7939
Phone: (317) 889-4125
Fax: (317) 889-4134
Website:
Map and Directions
Authorized official contact:
Name: Williams, Charles Clayborne RPH
Phone: (812) 254-2497

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 60006345A Indiana
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203.001778 Illinois
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 60006345A Indiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X 203.001778 Illinois
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 60006345A Indiana
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X 054.018509 Illinois
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X NRP.022594950-03 Ohio
Suppliers / Long Term Care Pharmacy 3336L0003X 054.018509 Illinois
Suppliers / Long Term Care Pharmacy 3336L0003X 60006345A Indiana
Suppliers / Long Term Care Pharmacy 3336L0003X NRP.022594950-03 Ohio
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1770524472
LBN Legal business name Williams Ltc Pharmacy, Llc
DBA Doing business as Williams Ltc Pharmacy, Llc
Authorized official Williams, Charles Clayborne RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Apr 10th, 2024 - about 5 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770524472 NPPES
Indiana MEDICAID 200446060A
Indiana Other 2142039

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