Individual
CHAD LIGHTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2435
(256) 207-2007
Mailing address
401 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2435
(256) 207-2007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
113273
AL
183500000X
Pharmacist
50223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110480
—
AL
Enumeration date
08/15/2014
Last updated
08/15/2014
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