Organization
WILLIAM LAY
Active
Other names
pharmacare drugs
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LAY RPH (OWNER)
(618) 277-4050
Entity
Organization
Contact information
Practice address
3608 W MAIN ST, BELLEVILLE, IL 62226-6225
(618) 277-4050
Mailing address
3608 W MAIN ST, BELLEVILLE, IL 62226-6225
(618) 277-4050
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054006232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1438262
OTHER ID NUMBER
—
Enumeration date
02/27/2007
Last updated
06/17/2008
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