Provider Demographics
NPI:1265073522
Name:WARMKESSEL, LAURA CARLIN (PHARM D)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:CARLIN
Last Name:WARMKESSEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MICHELLE
Other - Last Name:CARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:18144 WEDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8168
Mailing Address - Country:US
Mailing Address - Phone:775-850-8920
Mailing Address - Fax:775-850-8933
Practice Address - Street 1:18144 WEDGE PKWY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8168
Practice Address - Country:US
Practice Address - Phone:775-850-8920
Practice Address - Fax:775-850-8933
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV17663183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist