Provider Demographics
NPI:1003420340
Name:LASKIN, KATIE ANN (PHARM D)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:LASKIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:ANN
Other - Last Name:BOYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26 KELLY CT
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-4227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 TRAP FALLS ROAD EXT
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-4646
Practice Address - Country:US
Practice Address - Phone:203-383-7777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0010326183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist