Individual ProviderLarry Karl WilliamsPharmacistPharmacy Service ProvidersPractice Address6991 Old Jacksonville Hwy, Tyler, TX 75703-0579(903) 747-3508PECOS EnrollmentBased on the most recent information from CMS, provider Larry Karl Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1972140143Provider TypeIndividualFull NameWilliams, Larry KarlTitleDr.CredentialPHARMD.GenderMaleSole ProprietorNoEnumeration Date12/5/2019Last Updated12/5/2019Contact InformationPractice LocationPractice Address6991 Old Jacksonville Hwy, Tyler, TX 75703-0579Phone(903) 747-3508Fax(866) 248-6799Mailing LocationMailing Address6991 Old Jacksonville Hwy, Tyler, TX 75703-0579Phone(903) 747-3508Fax(866) 248-6799Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense51677Texas