Healthcare Provider Details

I. General information

NPI: 1356944391
Provider Name (Legal Business Name): JEFFREY HENG LAOV PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2020
Last Update Date: 11/20/2020
Certification Date: 11/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 EASTON RD STE B
HORSHAM PA
19044-3135
US

IV. Provider business mailing address

101 EASTON RD STE B
HORSHAM PA
19044-3135
US

V. Phone/Fax

Practice location:
  • Phone: 215-682-2016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP453812
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: