Provider Demographics
NPI:1700197746
Name:LAUBSCHER, DYLAN JASON (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:JASON
Last Name:LAUBSCHER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8705 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-6207
Mailing Address - Country:US
Mailing Address - Phone:804-239-1990
Mailing Address - Fax:888-506-6133
Practice Address - Street 1:8705 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-6207
Practice Address - Country:US
Practice Address - Phone:804-239-1990
Practice Address - Fax:888-506-6133
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202207696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist