Provider Demographics
NPI:1568624724
Name:LAPANNE, GARY PATRICK (RPH)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:PATRICK
Last Name:LAPANNE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:LEONARDO
Mailing Address - State:NJ
Mailing Address - Zip Code:07737-1677
Mailing Address - Country:US
Mailing Address - Phone:732-757-7731
Mailing Address - Fax:
Practice Address - Street 1:11 CENTER AVE
Practice Address - Street 2:
Practice Address - City:LEONARDO
Practice Address - State:NJ
Practice Address - Zip Code:07737-1677
Practice Address - Country:US
Practice Address - Phone:732-757-7731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2RI02673800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist