Healthcare Provider Details

I. General information

NPI: 1558634451
Provider Name (Legal Business Name): LAUREL CHRISTINE COX PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70060 FLETCHER LN
COVE OR
97824-8204
US

IV. Provider business mailing address

70060 FLETCHER LN
COVE OR
97824-8204
US

V. Phone/Fax

Practice location:
  • Phone: 541-656-6746
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0011287
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH60003266
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: