Provider Demographics
NPI:1194538223
Name:BROCK, LAUREN (RPH)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BROCK
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 1:523 LOCKHART ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5560
Mailing Address - Country:US
Mailing Address - Phone:412-818-5576
Mailing Address - Fax:
Practice Address - Street 1:1120 STEVENSON MILL RD STE 400
Practice Address - Street 2:
Practice Address - City:CORAOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15108-2505
Practice Address - Country:US
Practice Address - Phone:833-418-7760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP454655183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist