Provider Demographics
NPI:1902528995
Name:KEENE, LAURIN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LAURIN
Middle Name:
Last Name:KEENE
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 1:19408 US HWY 58
Mailing Address - Street 2:
Mailing Address - City:CASTLEWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24224
Mailing Address - Country:US
Mailing Address - Phone:276-762-5959
Mailing Address - Fax:
Practice Address - Street 1:19408 US HWY 58
Practice Address - Street 2:
Practice Address - City:CASTLEWOOD
Practice Address - State:VA
Practice Address - Zip Code:24224
Practice Address - Country:US
Practice Address - Phone:276-762-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202213998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist