MEDICARE: JOHN LUGAFET

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	15726	OK

General Provider Information

NPI Number	:	1043628142
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LUGAFET

Provider Business Mailing Address
First Line	:	1010 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6807
Country	:	US
Telephone Number	:	405-203-6622
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 NW 42ND ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73118-6807
Country	:	US
Telephone Number	:	405-203-6622
Fax Number	:

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

Provider Enumeration Date	:	08/01/2014
Last Update Date	:	08/01/2014

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Directions to “ JOHN LUGAFET ” Practice Location

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