Lauren Michelle Aydelette, PHARMD

Individual provider Active NPI Pharmacist · Matthews, NC

NPI 1659636777 · NPPES record last updated Jul 5, 2012

Key facts

NPI
1659636777
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
22686 (NC)
Practice address
1900 Matthews Township Pkwy
Matthews, NC 28105-4660
Phone
(336) 965-8600
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
22686NCMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22686 NC Yes

Addresses

Primary practice location

1900 Matthews Township Pkwy
Matthews, NC 28105-4660

Mailing address

1900 Matthews Township Pkwy
Matthews, NC 28105-4660
Phone (336) 965-8600

Other providers in Matthews, NC

All providers in Matthews, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.