Provider Demographics
NPI:1710504873
Name:MINAR, LAUREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:MINAR
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 1:48 SEDGEWOOD CT
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-7742
Mailing Address - Country:US
Mailing Address - Phone:404-275-3842
Mailing Address - Fax:
Practice Address - Street 1:530 HENDERSONVILLE RD APT B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2895
Practice Address - Country:US
Practice Address - Phone:828-782-5571
Practice Address - Fax:828-785-1490
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42852183500000X
GARPH027937183500000X
NC28304183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC28304OtherPHARMACY LICENSE
GARPH027937OtherPHARMACY LICENSE
TN42852OtherPHARMACY LICENSE