MEDICARE: DR. LAWRENCE ARNOLD DAILEY JR. PHARMD,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03225321	OH

General Provider Information

NPI Number	:	1548681281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE ARNOLD DAILEY JR. PHARMD,

Provider Business Mailing Address
First Line	:	4933 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4503
Country	:	US
Telephone Number	:	614-759-6806
Fax Number	:

Provider Business Practice Location Address
First Line	:	4933 BOTSFORD DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-4503
Country	:	US
Telephone Number	:	614-759-6806
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/25/2013
Last Update Date	:	12/25/2013

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Directions to “ DR. LAWRENCE ARNOLD DAILEY JR. PHARMD,” Practice Location

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