Provider Demographics
NPI:1831481472
Name:ANDREWS, LAUREL (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:ANDREWS
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 1:700 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71209-9000
Mailing Address - Country:US
Mailing Address - Phone:318-342-1721
Mailing Address - Fax:318-342-3802
Practice Address - Street 1:700 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71209-9000
Practice Address - Country:US
Practice Address - Phone:318-342-1721
Practice Address - Fax:318-342-3802
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA017387183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist