Provider Demographics
NPI:1164783999
Name:LAUGHLIN, PATRICK JOSEPH (R PH)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JOSEPH
Last Name:LAUGHLIN
Suffix:
Gender:M
Credentials:R PH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 PRESTON RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4853
Mailing Address - Country:US
Mailing Address - Phone:717-569-6245
Mailing Address - Fax:
Practice Address - Street 1:3913 HARTZDALE DR
Practice Address - Street 2:SUITE 1306
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-7845
Practice Address - Country:US
Practice Address - Phone:717-695-9082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP026286L1835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric