Provider Demographics
NPI:1780852301
Name:LOEFFLER, LAUREL ELENA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:ELENA
Last Name:LOEFFLER
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 1:15 CHESTER CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-9718
Mailing Address - Country:US
Mailing Address - Phone:518-326-6023
Mailing Address - Fax:
Practice Address - Street 1:26 CROSSING BLVD
Practice Address - Street 2:PHARMACY T-1477
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-4180
Practice Address - Country:US
Practice Address - Phone:518-371-8364
Practice Address - Fax:518-371-8364
Is Sole Proprietor?:No
Enumeration Date:2008-02-16
Last Update Date:2008-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist