Provider Demographics
NPI:1255348538
Name:MCLAUGHLIN, LOREN MARIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:MARIE
Last Name:MCLAUGHLIN
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 1:6574 WILLIAMS PL
Mailing Address - Street 2:
Mailing Address - City:SEBASTOPOL
Mailing Address - State:CA
Mailing Address - Zip Code:95472-5135
Mailing Address - Country:US
Mailing Address - Phone:707-829-7274
Mailing Address - Fax:
Practice Address - Street 1:788 GRAVENSTEIN HWY N
Practice Address - Street 2:
Practice Address - City:SEBASTOPOL
Practice Address - State:CA
Practice Address - Zip Code:95472-2843
Practice Address - Country:US
Practice Address - Phone:707-823-7209
Practice Address - Fax:707-823-0226
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41165183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist