# WILLIAM LAY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pharmacare drugs
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588790984
- **Authorized official:** WILLIAM LAY RPH (OWNER)
- **Authorized official phone:** (618) 277-4050

## Contact information

- **Practice address:** 3608 W MAIN ST, BELLEVILLE, IL 62226-6225
- **Practice address phone:** (618) 277-4050
- **Mailing address:** 3608 W MAIN ST, BELLEVILLE, IL 62226-6225
- **Mailing address phone:** (618) 277-4050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | 054006232 | IL | Yes |

## Other

- **Enumeration date:** 02/27/2007
- **Last updated:** 06/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1438262 | OTHER ID NUMBER-COMMERCIAL NUMBER | — |