Provider Demographics
NPI:1467801647
Name:KOTZER, LAUREEN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:LAUREEN
Middle Name:
Last Name:KOTZER
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 1:4000 CHEMICAL RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1708
Mailing Address - Country:US
Mailing Address - Phone:610-941-0129
Mailing Address - Fax:610-941-0742
Practice Address - Street 1:4000 CHEMICAL RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1708
Practice Address - Country:US
Practice Address - Phone:610-941-0129
Practice Address - Fax:610-941-0742
Is Sole Proprietor?:No
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP038379L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist