Provider Demographics
NPI:1891043626
Name:BLUM, LAUREN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:BLUM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 WHISPER LN
Mailing Address - Street 2:
Mailing Address - City:FURLONG
Mailing Address - State:PA
Mailing Address - Zip Code:18925-1207
Mailing Address - Country:US
Mailing Address - Phone:215-932-7030
Mailing Address - Fax:
Practice Address - Street 1:1203 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1209
Practice Address - Country:US
Practice Address - Phone:215-710-7427
Practice Address - Fax:215-710-7434
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist