Healthcare Provider Details

I. General information

NPI: 1134474778
Provider Name (Legal Business Name): LAURA CLAIRE PALOMBI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 E 1ST ST MAILBOX: 1S3W10
DULUTH MN
55805-1901
US

IV. Provider business mailing address

420 E 1ST ST MAILBOX: 1S3W10
DULUTH MN
55805-1901
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-2150
  • Fax:
Mailing address:
  • Phone: 218-349-7954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number120897
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: