Healthcare Provider Details

I. General information

NPI: 1841806726
Provider Name (Legal Business Name): LAUREN DENGLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2020
Last Update Date: 09/16/2020
Certification Date: 09/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MOUNT ROYAL BLVD
PITTSBURGH PA
15223-1060
US

IV. Provider business mailing address

551 HUMMINGBIRD LN
DUNCANSVILLE PA
16635-6704
US

V. Phone/Fax

Practice location:
  • Phone: 412-487-5706
  • Fax:
Mailing address:
  • Phone: 814-505-3545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP455004
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: