Provider Demographics
NPI:1821414111
Name:TARRH, LAURA (PHARM D)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:TARRH
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3803 JOSEPHINE HTS
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-5080
Mailing Address - Country:US
Mailing Address - Phone:817-319-0775
Mailing Address - Fax:
Practice Address - Street 1:3803 JOSEPHINE HTS
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-5080
Practice Address - Country:US
Practice Address - Phone:817-319-0775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2014-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO19928183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist