Provider Demographics
NPI:1558647073
Name:LINDBERG, LAUREL ANN (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:ANN
Last Name:LINDBERG
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 1:950 CALCON HOOK RD STE 15
Mailing Address - Street 2:BIOMED PHARMACEUTICALS
Mailing Address - City:SHARON HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19079
Mailing Address - Country:US
Mailing Address - Phone:888-244-2340
Mailing Address - Fax:610-886-0708
Practice Address - Street 1:950 CALCON HOOK RD STE 15
Practice Address - Street 2:BIOMED PHARMACEUTICALS
Practice Address - City:SHARON HILL
Practice Address - State:PA
Practice Address - Zip Code:19079
Practice Address - Country:US
Practice Address - Phone:888-244-2340
Practice Address - Fax:610-886-0708
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439827183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist