Provider Demographics
NPI:1992973523
Name:PILEGGI, LAURIE SUE (RPH)
Entity type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:SUE
Last Name:PILEGGI
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 1:14 AMIRA LN
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2959
Mailing Address - Country:US
Mailing Address - Phone:973-283-9272
Mailing Address - Fax:
Practice Address - Street 1:199 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07656-1335
Practice Address - Country:US
Practice Address - Phone:201-391-3233
Practice Address - Fax:201-930-9672
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-17
Last Update Date:2008-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJRI19393183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist