Provider Demographics
NPI:1386926426
Name:WILLIAMS, BRIANNE AMACHER (PHARMD)
Entity type:Individual
Prefix:
First Name:BRIANNE
Middle Name:AMACHER
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 W MOUNTAIN VIEW RD
Mailing Address - Street 2:APT 3119
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-2523
Mailing Address - Country:US
Mailing Address - Phone:423-946-3042
Mailing Address - Fax:
Practice Address - Street 1:300 MED TECH PKWY
Practice Address - Street 2:FRANKLIN WOODS COMMUNITY HOSPITAL PHARMACY
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2277
Practice Address - Country:US
Practice Address - Phone:423-302-1084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN34383183500000X
NC21408183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist