Healthcare Provider Details

I. General information

NPI: 1386509735
Provider Name (Legal Business Name): LAURA JEON PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7406 CHURCH ST
SWISSVALE PA
15218-2431
US

IV. Provider business mailing address

879 ROSALIND RD
PITTSBURGH PA
15237-5938
US

V. Phone/Fax

Practice location:
  • Phone: 412-271-6733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP460024
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: