Provider Demographics
NPI:1871770677
Name:WILLIAMS, ALLISON LEIGH (RPH)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:LEIGH
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 RUSSELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:LAURENS
Mailing Address - State:NY
Mailing Address - Zip Code:13796-1183
Mailing Address - Country:US
Mailing Address - Phone:607-263-5081
Mailing Address - Fax:
Practice Address - Street 1:5626 STATE HIGHWAY 7
Practice Address - Street 2:RITE AID PHARMACY #10795
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820
Practice Address - Country:US
Practice Address - Phone:607-432-8636
Practice Address - Fax:607-433-0373
Is Sole Proprietor?:No
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02 049730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00572601Medicaid