Provider Demographics
NPI:1841520871
Name:HARRISON, LAURA F (PHARM D)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:F
Last Name:HARRISON
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 1:1253 DIX AVE
Mailing Address - Street 2:CVS #2685
Mailing Address - City:HUDSON FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12839-9618
Mailing Address - Country:US
Mailing Address - Phone:518-747-4786
Mailing Address - Fax:518-747-2974
Practice Address - Street 1:1253 DIX AVE
Practice Address - Street 2:CVS #2685
Practice Address - City:HUDSON FALLS
Practice Address - State:NY
Practice Address - Zip Code:12839-9618
Practice Address - Country:US
Practice Address - Phone:518-747-4786
Practice Address - Fax:518-747-2974
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050337183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist