Provider Demographics
NPI:1043551799
Name:LAURENTS, ALMA ELLA (RPH)
Entity Type:Individual
Prefix:
First Name:ALMA
Middle Name:ELLA
Last Name:LAURENTS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6151
Mailing Address - Country:US
Mailing Address - Phone:512-923-3088
Mailing Address - Fax:
Practice Address - Street 1:403 S COLORADO ST
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-2702
Practice Address - Country:US
Practice Address - Phone:512-398-6797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-05
Last Update Date:2013-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29540183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist