Dr. Connor Price Laforge, PharmD
Pharmacist in Port Jefferson Station, NY. Individual provider (NPI-1).
NPI number1982185583
StatusActive
Last updated in NPPESApr 25, 2020
Details
- NPI
- 1982185583
- Entity type
- Individual (NPI-1)
- Name
- Dr. Connor Price Laforge
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 22, 2018
- Certification date
- Apr 25, 2020
- Last updated
- Apr 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 064497 | NY | Yes |
Practice location
4331 Nesconset HwyPort Jefferson Station, NY 11776-2250
Phone 631-642-3019
Mailing address
4331 Nesconset HwyPort Jefferson Station, NY 11776-2250
Phone 631-642-3019
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