Provider Demographics
NPI:1528348687
Name:WILLIAMS, KENT EDWARD (PHARM D)
Entity type:Individual
Prefix:DR
First Name:KENT
Middle Name:EDWARD
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 N BELTLINE DR
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-7403
Mailing Address - Country:US
Mailing Address - Phone:843-664-0909
Mailing Address - Fax:843-664-0911
Practice Address - Street 1:230 N BELTLINE DR
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-7403
Practice Address - Country:US
Practice Address - Phone:843-664-0909
Practice Address - Fax:843-664-0911
Is Sole Proprietor?:No
Enumeration Date:2011-08-22
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13385183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist