Provider Demographics
NPI:1730502600
Name:LAUBSCHER, NIEL (RPH)
Entity type:Individual
Prefix:MR
First Name:NIEL
Middle Name:
Last Name:LAUBSCHER
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8921 W THOMAS RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-3244
Mailing Address - Country:US
Mailing Address - Phone:623-936-1785
Mailing Address - Fax:623-936-3162
Practice Address - Street 1:8921 W THOMAS RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3244
Practice Address - Country:US
Practice Address - Phone:623-936-1785
Practice Address - Fax:623-936-3162
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS015429183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist