Provider Demographics
NPI:1063022002
Name:WILLIAMSON, KAYLA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KAYLA
Middle Name:
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 EAST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-8227
Mailing Address - Country:US
Mailing Address - Phone:919-542-1661
Mailing Address - Fax:
Practice Address - Street 1:321 EAST ST
Practice Address - Street 2:
Practice Address - City:PITTSBORO
Practice Address - State:NC
Practice Address - Zip Code:27312-8227
Practice Address - Country:US
Practice Address - Phone:919-542-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCWILL-6MSGFA183500000X
NC29868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist