Provider Demographics
NPI:1447708995
Name:ENGLERT, LAUREN
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ENGLERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2034 NEW CASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-7703
Mailing Address - Country:US
Mailing Address - Phone:302-658-9824
Mailing Address - Fax:302-658-3722
Practice Address - Street 1:126 MARKET WAY
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1039
Practice Address - Country:US
Practice Address - Phone:570-895-5055
Practice Address - Fax:570-895-5056
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-13
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10004987183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist