Provider Demographics
NPI:1114158094
Name:LAI, JOY C (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:C
Last Name:LAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5826 SOUTHCREST WAY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-2389
Mailing Address - Country:US
Mailing Address - Phone:314-920-6672
Mailing Address - Fax:
Practice Address - Street 1:1901 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63133-1325
Practice Address - Country:US
Practice Address - Phone:314-512-7569
Practice Address - Fax:314-512-7574
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008027485183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist