Healthcare Provider Details

I. General information

NPI: 1518820828
Provider Name (Legal Business Name): LAURA LANDRY PHARM.D, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 MAIN ST
HEBRON CT
06248-1518
US

IV. Provider business mailing address

44 NOVELLI PL
COLCHESTER CT
06415-2535
US

V. Phone/Fax

Practice location:
  • Phone: 860-228-3888
  • Fax:
Mailing address:
  • Phone: 203-376-1263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0010810
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: