Lawrence Thomas Walsh Jr.
Pharmacist in Woodstock, IL. Individual provider (NPI-1).
NPI number1508281114
StatusActive
Last updated in NPPESAug 25, 2020
Details
- NPI
- 1508281114
- Entity type
- Individual (NPI-1)
- Name
- Lawrence Thomas Walsh Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 19, 2014
- Certification date
- Aug 25, 2020
- Last updated
- Aug 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051-040951 | IL | Yes |
Practice location
2000 Lake AveWoodstock, IL 60098-7401
Phone 815-337-4116
Mailing address
2000 Lake AveWoodstock, IL 60098-7401
Phone 153-374-1168
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