Provider Demographics
NPI:1447701479
Name:WOSKOBNICK, LAURA (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:WOSKOBNICK
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 STEUBEN ST
Mailing Address - Street 2:APARTMENT 606
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-2114
Mailing Address - Country:US
Mailing Address - Phone:614-256-8615
Mailing Address - Fax:
Practice Address - Street 1:40 STEUBEN ST
Practice Address - Street 2:APARTMENT 606
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2114
Practice Address - Country:US
Practice Address - Phone:614-256-8615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI 062411183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist