Provider Demographics
NPI:1982295382
Name:WILLIAMS, RODNEY HUGH (RPH)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:HUGH
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1199 CLEMENTS RD
Mailing Address - Street 2:
Mailing Address - City:RAINSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35986-5638
Mailing Address - Country:US
Mailing Address - Phone:256-997-6733
Mailing Address - Fax:
Practice Address - Street 1:14 INDUSTRIAL LN
Practice Address - Street 2:
Practice Address - City:SYLVANIA
Practice Address - State:AL
Practice Address - Zip Code:35988-2273
Practice Address - Country:US
Practice Address - Phone:256-638-6070
Practice Address - Fax:256-638-6075
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10522183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist