Provider Demographics
NPI:1285979443
Name:WILLIAMSON, MEREE D (RPH)
Entity type:Individual
Prefix:
First Name:MEREE
Middle Name:D
Last Name:WILLIAMSON
Suffix:
Gender:F
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:PO BOX 310
Mailing Address - Street 2:
Mailing Address - City:NORWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29113-0310
Mailing Address - Country:US
Mailing Address - Phone:803-263-4795
Mailing Address - Fax:803-263-4809
Practice Address - Street 1:8412 SAVANNAH HWY
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:SC
Practice Address - Zip Code:29113-0310
Practice Address - Country:US
Practice Address - Phone:803-263-4795
Practice Address - Fax:803-263-4809
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6606183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist