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NPI Code Detail

MEDICARE: DR. LAURA P WELCH PHARM.D.

MEDICARE: DR. LAURA P WELCH PHARM.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P1200XPharmacotherapy Pharmacist0005444WV
21835P1200XPharmacotherapy Pharmacist010189KY

General Provider Information

NPI Number : 1659363950
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA P WELCH PHARM.D.
Provider Business Mailing Address
First Line : 1210 SUMMIT DR
Second Line :
City : CHARLESTON
State : WV
Zip : 25302-2613
Country : US
Telephone Number : 304-552-9117
Fax Number :
Provider Business Practice Location Address
First Line : 2300 MACCORKLE AVE SE
Second Line : UNIVERSITY OF CHARLESTON SCHOOL OF PHARMACY
City : CHARLESTON
State : WV
Zip : 25304-1045
Country : US
Telephone Number : 304-357-4850
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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