Provider Demographics
NPI:1952079550
Name:MERLI, LAUREN MARY (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARY
Last Name:MERLI
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 1:29 CRESCENT DR S
Mailing Address - Street 2:
Mailing Address - City:BYRAM TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-4010
Mailing Address - Country:US
Mailing Address - Phone:570-862-1703
Mailing Address - Fax:
Practice Address - Street 1:148 CENTER GROVE RD
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-1325
Practice Address - Country:US
Practice Address - Phone:973-442-4668
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04156100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist