Most Relevant Information
Provider Data
| NPI Number: | 1003492760 |
| Provider Name: | ALTIMAR TAIMAK WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 183700000X |
| Specialty: | Pharmacy Technician |
| License Number: | 0230009640 |
Most Important Dates
| Enumeration Date: | 03/23/2021 |
| Last Updated: | 03/23/2021 |
Provider Practice Location
1170 N MILITARY HWY
NORFOLK
VA
235022425
Practice Location Phone/Fax
| Phone: | 7574612125 |
| Fax: | 7574616558 |
Provider Mailing Location
828 TRAFALGAR CT
VIRGINIA BEACH
VA
234621028
Provider Mailing Phone/Fax
| Phone: | 7577018796 |
| Fax: |