Provider Demographics
NPI:1104928704
Name:WILLIAMS, THOMAS G JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:G
Last Name:WILLIAMS
Suffix:JR
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 1:450 GIBNER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-5086
Mailing Address - Country:US
Mailing Address - Phone:717-961-2071
Mailing Address - Fax:717-961-2049
Practice Address - Street 1:450 GIBNER RD STE 1
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-5086
Practice Address - Country:US
Practice Address - Phone:717-961-2071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4409311835P2201X, 183500000X
PARPI000573183500000X
MD17943183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No183500000XPharmacy Service ProvidersPharmacist