Healthcare Provider Details
I. General information
NPI: 1609619485
Provider Name (Legal Business Name): LUKE SCHWERER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/18/2024
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 MERCED ST
SAN LEANDRO CA
94577-4201
US
IV. Provider business mailing address
22271 FOOTHILL BLVD APT 5114
HAYWARD CA
94541-2764
US
V. Phone/Fax
- Phone: 510-454-1000
- Fax:
- Phone: 262-443-4578
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1835P2201X |
| Taxonomy | Ambulatory Care Pharmacist |
| License Number | 88124 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: