Provider Demographics
NPI:1427089879
Name:RUPNICK, LAURA LEANNE (RPH)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEANNE
Last Name:RUPNICK
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 1:14490 K RD
Mailing Address - Street 2:
Mailing Address - City:DELIA
Mailing Address - State:KS
Mailing Address - Zip Code:66418-9597
Mailing Address - Country:US
Mailing Address - Phone:785-350-3111
Mailing Address - Fax:785-350-4524
Practice Address - Street 1:COLMERY-O'NEIL VA MEDICAL CENTER
Practice Address - Street 2:2200 GAGE BLVD
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66622
Practice Address - Country:US
Practice Address - Phone:785-350-3111
Practice Address - Fax:785-350-4524
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35564183500000X
KS12517183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist