MEDICARE: NICOLE H LAY PHARM.D.

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	PS42591	FL

General Provider Information

NPI Number	:	1811156565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE H LAY PHARM.D.

Provider Business Mailing Address
First Line	:	2602 CHALLENGER TECH CT STE 240
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-2782
Country	:	US
Telephone Number	:	407-513-4118
Fax Number	:

Provider Business Practice Location Address
First Line	:	2602 CHALLENGER TECH CT STE 240
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-2782
Country	:	US
Telephone Number	:	407-513-4118
Fax Number	:

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

Provider Enumeration Date	:	06/07/2008
Last Update Date	:	08/08/2023

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Directions to “ NICOLE H LAY PHARM.D.” Practice Location

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