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1639144413
JACK O'NEIL LAY
DELAND, FL
NPI
1639144413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: FL PS15145)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Mr. JACK O'NEIL LAY R.Ph.
319 S WOODLAND BLVD
DELAND, FL 32720-5853
Phone number: 386-734-3383
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Mailing Address
Mr. JACK O'NEIL LAY R.Ph.
533 QUAIL DOWN DR
DEBARY, FL 32713-4506
Phone number: 386-774-8681
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