Provider Demographics
NPI:1700921418
Name:DARBY, LAURA G (RPH)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:G
Last Name:DARBY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301A E THREE NOTCH ST
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-3124
Mailing Address - Country:US
Mailing Address - Phone:334-222-8825
Mailing Address - Fax:334-222-2761
Practice Address - Street 1:301A E THREE NOTCH ST
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-3124
Practice Address - Country:US
Practice Address - Phone:334-222-8825
Practice Address - Fax:334-222-2761
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10462183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist