Provider Demographics
NPI:1366762817
Name:READ, LAURA HERREN (RPH)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:HERREN
Last Name:READ
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 CRESTSIDE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BROOK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-1517
Mailing Address - Country:US
Mailing Address - Phone:205-970-2063
Mailing Address - Fax:
Practice Address - Street 1:1936 OLD ORCHARD RD
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-2247
Practice Address - Country:US
Practice Address - Phone:205-824-0775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11720183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist