Healthcare Provider Details

I. General information

NPI: 1366599920
Provider Name (Legal Business Name): COLLEEN D LAUSTER PHARMD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 SCAIFE HALL 200 LOTHROP STREET
PITTSBURGH PA
16046
US

IV. Provider business mailing address

508 VILLAGE GREEN BLVD W
MARS PA
16046-4814
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-0899
  • Fax: 412-647-1441
Mailing address:
  • Phone: 810-434-0403
  • Fax: 412-647-1441

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberRP440620
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: