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NPI Code Detail

MEDICARE: MISS LAURA LEE ROSE ERHARDT PHARM D

MEDICARE: MISS LAURA LEE ROSE ERHARDT PHARM D
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
1183500000XPharmacist20571NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1361924025OTHERNCTAX ID

General Provider Information

NPI Number : 1437486768
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LAURA LEE ROSE ERHARDT PHARM D
Provider Business Mailing Address
First Line : 3911 CAPITAL BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27604-3411
Country : US
Telephone Number : 919-872-5233
Fax Number : 919-872-5287
Provider Business Practice Location Address
First Line : 3911 CAPITAL BLVD
Second Line :
City : RALEIGH
State : NC
Zip : 27604-3411
Country : US
Telephone Number : 919-872-5233
Fax Number : 919-872-5287
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2009
Last Update Date : 11/06/2009

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Directions to “ MISS LAURA LEE ROSE ERHARDT PHARM D” Practice Location

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