Provider Demographics
NPI:1447636444
Name:ENG, LAURIE (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14220 S BISCAYNE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-2712
Mailing Address - Country:US
Mailing Address - Phone:305-588-1865
Mailing Address - Fax:
Practice Address - Street 1:3401 N MIAMI AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-3525
Practice Address - Country:US
Practice Address - Phone:786-437-0165
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2015-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS53753183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist