Provider Demographics
NPI:1942972120
Name:SJOQUIST, LAURA KATHERINE (PHARMD, BSPS)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:KATHERINE
Last Name:SJOQUIST
Suffix:
Gender:F
Credentials:PHARMD, BSPS
Other - Prefix:DR
Other - First Name:LAURA
Other - Middle Name:KATHERINE
Other - Last Name:FARLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2662 SCOTCH VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-7202
Mailing Address - Country:US
Mailing Address - Phone:315-409-8199
Mailing Address - Fax:
Practice Address - Street 1:2907 PLEASANT VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4305
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03440292183500000X
NC28321183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist