Provider Demographics
NPI:1366589376
Name:WILILAMS, REBA E (RPH)
Entity type:Individual
Prefix:MRS
First Name:REBA
Middle Name:E
Last Name:WILILAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
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Mailing Address - Street 1:4708 ALLIANCE BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5340
Mailing Address - Country:US
Mailing Address - Phone:469-467-4348
Mailing Address - Fax:469-467-4377
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:469-467-4348
Practice Address - Fax:469-467-4377
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX233931835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology