Provider Demographics
NPI:1588701163
Name:KILCHER, LAURA M (LAURA KILCHER, RPH)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:KILCHER
Suffix:
Gender:F
Credentials:LAURA KILCHER, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1659 PENFIELD RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2549
Mailing Address - Country:US
Mailing Address - Phone:585-419-0560
Mailing Address - Fax:
Practice Address - Street 1:1659 PENFIELD RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-2549
Practice Address - Country:US
Practice Address - Phone:585-419-0560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046258-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist