National Provider Identifier

Laura Marie Penca, RPH

Laura Marie Penca, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Lakewood, NY and a listed phone number of (317) 413-0101.

NPI 1073846374Lakewood, NYPharmacist

Profile Overview

NPI
1073846374
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
September 17, 2009
Last Updated
September 17, 2009

Practice Location

  • 34 W Terrace Ave
  • Lakewood, NY 14750-1137

Phone: (317) 413-0101

Specialties

  • Pharmacist (183500000X)
  • Pharmacist (183500000X)
Full Record
NPI
1073846374
Entity Type
Individual
Last Name
Penca
First Name
Laura
Middle Name
Marie
Name Prefix
Mrs.
Credential
RPH
Mailing Street Address
34 W Terrace Ave
Mailing City
Lakewood
Mailing State
NY
Mailing ZIP Code
14750-1137
Mailing Country
US
Mailing Phone
(317) 413-0101
Practice Street Address
34 W Terrace Ave
Practice City
Lakewood
Practice State
NY
Practice ZIP Code
14750-1137
Practice Country
US
Practice Phone
(317) 413-0101
Enumeration Date
September 17, 2009
Last Updated
September 17, 2009
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X), Pharmacist (183500000X)