Provider Demographics
NPI:1265105522
Name:MALINOWSKI, LAURA CLAIRE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:CLAIRE
Last Name:MALINOWSKI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:198 SOPHERS ROW
Mailing Address - Street 2:
Mailing Address - City:MAGNOLIA
Mailing Address - State:DE
Mailing Address - Zip Code:19962-1330
Mailing Address - Country:US
Mailing Address - Phone:302-423-9812
Mailing Address - Fax:
Practice Address - Street 1:2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:DE
Practice Address - Zip Code:19934-1319
Practice Address - Country:US
Practice Address - Phone:302-697-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-31
Last Update Date:2021-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015682183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist