Williams, Roddy

Williams, Roddy is an individual health care provider with primary practice located at 1415 Hwy 17 Bus North , Myrtle Beach SC 29577. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Williams, Roddy can be contacted via phone (843) 238-5159.

Contact Information

Primary practice address
1415 Hwy 17 Bus North Myrtle Beach SC 29577
Phone: (843) 238-5159
Fax: (843) 238-5150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 4579 South Carolina

Profile Details

NPI number 1306881628
LBN Legal business name Williams, Roddy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306881628 NPPES
South Carolina MEDICAID 747216

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