Toni Marie Lawley, R.PH.
Individual provider Active NPI Pharmacist · Granville, IL
NPI 1477834802 · NPPES record last updated Aug 30, 2011
Key facts
- NPI
- 1477834802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.290865 (IL)
- Practice address
- 314 S McCoy St
Granville, IL 61326-9333 - Phone
- (815) 339-2286
- Fax
- (815) 339-2288
- NPI assigned
- Aug 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.290865 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Profesional Pharmacy Managers LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.290865 | IL | Yes |
Addresses
Primary practice location
314 S McCoy St
Granville, IL 61326-9333
Mailing address
314 S McCoy St
Granville, IL 61326-9333
Phone (815) 339-2286
Other providers in Granville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.