Provider Demographics
NPI:1679066534
Name:WILLIAMS, JAMES ANTHONY JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6841 FOX LANDING WAY APT 824
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27616-7640
Mailing Address - Country:US
Mailing Address - Phone:443-790-6801
Mailing Address - Fax:
Practice Address - Street 1:1000 SHOPPES AT MIDWAY DR
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-7313
Practice Address - Country:US
Practice Address - Phone:919-388-6101
Practice Address - Fax:919-388-6111
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27690183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist