Provider Demographics
NPI:1467247304
Name:KLINE, LAURA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:
Last Name:KLINE
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 MENNONITE RD
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-3224
Mailing Address - Country:US
Mailing Address - Phone:484-624-1131
Mailing Address - Fax:
Practice Address - Street 1:55 PARK AVE
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-2629
Practice Address - Country:US
Practice Address - Phone:610-409-2604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP459247183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist