MEDICARE: MRS. LAURA HELEN SATTLER RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	047564	NY

General Provider Information

NPI Number	:	1073835229
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA HELEN SATTLER RPH

Provider Business Mailing Address
First Line	:	54 SPIELMAN AVE
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-5226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 COMMUNITY DR
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-5503
Country	:	US
Telephone Number	:	833-868-8486
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2010
Last Update Date	:	11/23/2020

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