Provider Demographics
NPI:1679228258
Name:MCLAUGHLIN, TIERA LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TIERA
Middle Name:LYNN
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:TIERA
Other - Middle Name:L
Other - Last Name:HICKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:252 BERMUDIAN CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:EAST BERLIN
Mailing Address - State:PA
Mailing Address - Zip Code:17316-9152
Mailing Address - Country:US
Mailing Address - Phone:717-465-8500
Mailing Address - Fax:
Practice Address - Street 1:252 BERMUDIAN CHURCH RD
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9152
Practice Address - Country:US
Practice Address - Phone:717-465-8500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD216281835P0018X
PARP4470371835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist