Provider Demographics
NPI:1861631210
Name:LAUF, ALICIA RAE (PHARM D, RPH)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:RAE
Last Name:LAUF
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:
Mailing Address - City:LAMOURE
Mailing Address - State:ND
Mailing Address - Zip Code:58458-0175
Mailing Address - Country:US
Mailing Address - Phone:701-238-9059
Mailing Address - Fax:701-883-5531
Practice Address - Street 1:100 1ST AVE SW
Practice Address - Street 2:
Practice Address - City:LAMOURE
Practice Address - State:ND
Practice Address - Zip Code:58458
Practice Address - Country:US
Practice Address - Phone:701-883-5339
Practice Address - Fax:701-883-5531
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND5190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist