Provider Demographics
NPI:1316458250
Name:MCLAURIN, LAURIE (PHARMD)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:
Last Name:MCLAURIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4225 RAMSEY ST STE E
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2185
Mailing Address - Country:US
Mailing Address - Phone:910-884-3053
Mailing Address - Fax:
Practice Address - Street 1:4225 RAMSEY ST STE E
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2185
Practice Address - Country:US
Practice Address - Phone:910-884-3053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-18
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27340183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist