Provider Demographics
NPI:1093716664
Name:LECAIN, WILLIAM K (RPH)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:K
Last Name:LECAIN
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CHILDRENS PLZ
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45404-1816
Mailing Address - Country:US
Mailing Address - Phone:937-641-5428
Mailing Address - Fax:937-641-5474
Practice Address - Street 1:18 CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1816
Practice Address - Country:US
Practice Address - Phone:937-641-5428
Practice Address - Fax:937-641-5474
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-11519183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist