Healthcare Provider Details

I. General information

NPI: 1457270589
Provider Name (Legal Business Name): LUCAS RESEARCH NEXUS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 LEVERING MILL RD
BALA CYNWYD PA
19004-2711
US

IV. Provider business mailing address

431 LEVERING MILL RD
BALA CYNWYD PA
19004-2711
US

V. Phone/Fax

Practice location:
  • Phone: 301-580-8170
  • Fax:
Mailing address:
  • Phone: 301-580-8170
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: LUCAS POON
Title or Position: OWNER
Credential:
Phone: 301-580-8170