Basic Information
| Provider Information | |||||||||
| NPI: | 1639172349 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WILLIAMS | ||||||||
| FirstName: | CASEY | ||||||||
| MiddleName: | BENJAMIN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHARM.D., BCOP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 E 23RD ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571052108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223588 | ||||||||
| FaxNumber: | 6053226901 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 E 23RD ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571052108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053223588 | ||||||||
| FaxNumber: | 6053226901 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2005 | ||||||||
| LastUpdateDate: | 09/02/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P0018X | R5920 | SD | Y | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH5472 | ND | N | Pharmacy Service Providers | Pharmacist | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P1200X | 1-13848 | KS | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835P1200X | 15481 | NC | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835X0200X | 15481 | NC | N | Pharmacy Service Providers | Pharmacist | Oncology | 1835X0200X | 1-13848 | KS | N | Pharmacy Service Providers | Pharmacist | Oncology |
No ID Information.