Provider Demographics
NPI:1104913169
Name:WILLIAMS, RICHARD ARNOLD (RPH)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:ARNOLD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5950 MARROWBACK RD
Mailing Address - Street 2:
Mailing Address - City:CONESUS
Mailing Address - State:NY
Mailing Address - Zip Code:14435-9541
Mailing Address - Country:US
Mailing Address - Phone:585-346-2551
Mailing Address - Fax:
Practice Address - Street 1:27 SHEATHER ST
Practice Address - Street 2:
Practice Address - City:HAMMONDSPORT
Practice Address - State:NY
Practice Address - Zip Code:14840
Practice Address - Country:US
Practice Address - Phone:607-569-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist