Laurenzo, Kimberly Eileen

Laurenzo, Kimberly Eileen is an individual health care provider with primary practice located at 625 3Rd Ave Ext Target Pharmacy T-1796, Rensselaer NY 12144-5618. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Laurenzo, Kimberly Eileen can be contacted via phone (518) 283-2572.

Contact Information

Primary practice address
625 3Rd Ave Ext Target Pharmacy T-1796 Rensselaer NY 12144-5618
Phone: (518) 283-2572
Fax: (518) 238-6204
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 054507 New York

Profile Details

NPI number 1861713794
LBN Legal business name Laurenzo, Kimberly Eileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2010
Last updated Mar 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861713794 NPPES
New York Other 054507 NEW YORK STATE

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