MEDICARE: LAURA WOSKOBNICK PHARMD, 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	I 062411	NY

General Provider Information

NPI Number	:	1447701479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA WOSKOBNICK PHARMD, RPH

Provider Business Mailing Address
First Line	:	40 STEUBEN ST
Second Line	:	APARTMENT 606
City	:	ALBANY
State	:	NY
Zip	:	12207-2114
Country	:	US
Telephone Number	:	614-256-8615
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 STEUBEN ST
Second Line	:	APARTMENT 606
City	:	ALBANY
State	:	NY
Zip	:	12207-2114
Country	:	US
Telephone Number	:	614-256-8615
Fax Number	:

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

Provider Enumeration Date	:	10/14/2016
Last Update Date	:	10/14/2016

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