Provider Demographics
NPI:1366599920
Name:LAUSTER, COLLEEN D (PHARMD, CDE)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:D
Last Name:LAUSTER
Suffix:
Gender:F
Credentials:PHARMD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 VILLAGE GREEN BLVD W
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4814
Mailing Address - Country:US
Mailing Address - Phone:810-434-0403
Mailing Address - Fax:412-647-1441
Practice Address - Street 1:302 SCAIFE HALL
Practice Address - Street 2:200 LOTHROP STREET
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:16046
Practice Address - Country:US
Practice Address - Phone:412-647-0899
Practice Address - Fax:412-647-1441
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4406201835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy