IndividualActive
Keonjala Williams, PHARMD
NPI 1760087738 · Pharmacist · Jasper, FL
Provider details
- NPI number
- 1760087738
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PS56665 (FL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
100 2nd Ave Se
Jasper, FL 32052-6114
Phone: (386) 792-2551
Fax: (386) 792-3577
Approximate (ZIP-level) locationGet directions
Mailing address
100 2nd Ave Se
Jasper, FL 32052-6114
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
- Certified
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.