MEDICARE: ANITA L LUKES PHARM.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26012928	IN

General Provider Information

NPI Number	:	1407857949
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANITA L LUKES PHARM.D.

Provider Business Mailing Address
First Line	:	9732 TRILOBI DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-9704
Country	:	US
Telephone Number	:	317-630-6222
Fax Number	:	317-630-8772

Provider Business Practice Location Address
First Line	:	1001 W 10TH ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-2859
Country	:	US
Telephone Number	:	317-630-6222
Fax Number	:	317-630-8772

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

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