Provider Demographics
NPI:1215548037
Name:ANDREWS-COMER, LAURIE JEAN (RPH)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:JEAN
Last Name:ANDREWS-COMER
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 1:80 PROSPECT ST UNIT 8
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-3748
Mailing Address - Country:US
Mailing Address - Phone:617-791-5435
Mailing Address - Fax:
Practice Address - Street 1:80 PROSPECT ST UNIT 8
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-3748
Practice Address - Country:US
Practice Address - Phone:617-791-5435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA21429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist