Provider Demographics
NPI:1427818491
Name:REINHARDT, LAURYN (PHARMD)
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:
Last Name:REINHARDT
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 1:21626 WAHOO TRL
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-7503
Mailing Address - Country:US
Mailing Address - Phone:818-903-4585
Mailing Address - Fax:
Practice Address - Street 1:2333 BORCHARD RD
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3206
Practice Address - Country:US
Practice Address - Phone:805-498-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89332183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist