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NPI Code Detail

MEDICARE: DR. ROBERT LUCZAK RPH

MEDICARE: DR. ROBERT LUCZAK RPH
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
1183500000XPharmacist5302029213MI
21835P1200XPharmacotherapy Pharmacist5302029213MI

General Provider Information

NPI Number : 1427057876
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT LUCZAK RPH
Provider Business Mailing Address
First Line : 2215 FULLER RD
Second Line : (30)
City : ANN ARBOR
State : MI
Zip : 48105-2303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2215 FULLER RD
Second Line :
City : ANN ARBOR
State : MI
Zip : 48105-2303
Country : US
Telephone Number : 734-769-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 07/30/2007

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Directions to “ DR. ROBERT LUCZAK RPH” Practice Location

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