Provider Demographics
NPI:1104143254
Name:WILLIAMS, JOSEPH YATES III (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:YATES
Last Name:WILLIAMS
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JOE
Other - Middle Name:YATES
Other - Last Name:WILLIAMS
Other - Suffix:III
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5704 FORT BENTON DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-7914
Mailing Address - Country:US
Mailing Address - Phone:512-791-6857
Mailing Address - Fax:
Practice Address - Street 1:6900 BRODIE LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-5008
Practice Address - Country:US
Practice Address - Phone:512-891-8906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38677183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist