Provider Demographics
NPI:1134798259
Name:HARMON, LAURA A (PHARMD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:HARMON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:A
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:3132 ROAD 12
Mailing Address - Street 2:
Mailing Address - City:LEIPSIC
Mailing Address - State:OH
Mailing Address - Zip Code:45856-9480
Mailing Address - Country:US
Mailing Address - Phone:419-371-3381
Mailing Address - Fax:
Practice Address - Street 1:930 SHERIDEN DR
Practice Address - Street 2:
Practice Address - City:CAREY
Practice Address - State:OH
Practice Address - Zip Code:43316-1501
Practice Address - Country:US
Practice Address - Phone:419-396-7977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328744183500000X
OHRP451319183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist