Provider Demographics
NPI:1952919375
Name:ABREU, LAURIE (PHARM D)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:ABREU
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 1:6109 SOUTHERN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:OH
Mailing Address - Zip Code:45122-8452
Mailing Address - Country:US
Mailing Address - Phone:513-331-4520
Mailing Address - Fax:
Practice Address - Street 1:385 NORTHLAND BLVD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-3272
Practice Address - Country:US
Practice Address - Phone:513-825-6446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03337254183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist