Provider Demographics
NPI:1528216439
Name:SARDARBEKIANS, LAURYN ANNE (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAURYN
Middle Name:ANNE
Last Name:SARDARBEKIANS
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 1:15 BUCKTHORN RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9517
Mailing Address - Country:US
Mailing Address - Phone:773-852-4212
Mailing Address - Fax:
Practice Address - Street 1:375 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60074-2812
Practice Address - Country:US
Practice Address - Phone:847-934-5741
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292832183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist