Provider Demographics
NPI:1316191943
Name:SHRUM, LAURA DAWN (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:DAWN
Last Name:SHRUM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 WALNUT HILL RD
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-5090
Mailing Address - Country:US
Mailing Address - Phone:724-438-7455
Mailing Address - Fax:724-438-7450
Practice Address - Street 1:150 WALNUT HILL RD
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-5090
Practice Address - Country:US
Practice Address - Phone:724-438-7455
Practice Address - Fax:724-438-7450
Is Sole Proprietor?:No
Enumeration Date:2008-11-10
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP442878183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist