Timothy Lawson, RPH

Individual provider Active NPI Pharmacist · Metropolis, IL

NPI 1992396782 · NPPES record last updated Feb 3, 2021

Key facts

NPI
1992396782
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051039671 (IL)
Practice address
1201 W 10TH St
Metropolis, IL 62960-2433
Phone
(618) 524-8400
Fax
(618) 524-9961
NPI assigned
Feb 3, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
051039671ILMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Metrolpolis Drugs II Inc Current
since Feb 7, 2021
Accepting new patients
Metrolpolis Drugs II Inc Current
since Feb 7, 2021
Accepting new patients

Locations

1201 W 10th St
Metropolis, IL 62960
Phone (618) 524-8400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051039671 IL Yes

Addresses

Primary practice location

1201 W 10TH St
Metropolis, IL 62960-2433

Mailing address

42 Hospital Dr
Metropolis, IL 62960-2463
Phone (618) 645-0658

Other providers in Metropolis, IL

All providers in Metropolis, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.