Provider Demographics
NPI:1942582150
Name:LAURENT, BEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:LAURENT
Suffix:
Gender:M
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:PO BOX 3795
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-3795
Mailing Address - Country:US
Mailing Address - Phone:206-489-7779
Mailing Address - Fax:
Practice Address - Street 1:516 1ST AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3926
Practice Address - Country:US
Practice Address - Phone:206-494-1700
Practice Address - Fax:206-494-1689
Is Sole Proprietor?:No
Enumeration Date:2011-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI3243183500000X
WA60225886183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist