Basic Information
| Provider Information | |||||||||
| NPI: | 1386842904 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | CHARLENE | ||||||||
| MiddleName: | R | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHARMD, BCPS, CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 35 QUEEN RD | ||||||||
| Address2: | |||||||||
| City: | CANDLER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287159257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286708553 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2585 HENDERSONVILLE RD | ||||||||
| Address2: | SUITE C | ||||||||
| City: | ARDEN | ||||||||
| State: | NC | ||||||||
| PostalCode: | 287049577 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8286878647 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2007 | ||||||||
| LastUpdateDate: | 07/20/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | 15022 | NC | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
No ID Information.