Provider Demographics
NPI:1104272715
Name:LAYMON, ANDREW (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:LAYMON
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 ACE DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44319-2267
Mailing Address - Country:US
Mailing Address - Phone:614-596-4469
Mailing Address - Fax:
Practice Address - Street 1:3660 ACE DR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44319-2267
Practice Address - Country:US
Practice Address - Phone:614-596-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH033267633183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist