MEDICARE: MR. DANIEL WILLIAM LUEKER RPH, CGP

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	1835P1200X	Pharmacotherapy Pharmacist	12907	AL
2	1835G0303X	Geriatric Pharmacist	12907	AL

General Provider Information

NPI Number	:	1093791428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL WILLIAM LUEKER RPH, CGP

Provider Business Mailing Address
First Line	:	901 6TH AVE NE
Second Line	:
City	:	ARAB
State	:	AL
Zip	:	35016-1652
Country	:	US
Telephone Number	:	256-586-4455
Fax Number	:	256-586-4403

Provider Business Practice Location Address
First Line	:	901 6TH AVE NE
Second Line	:
City	:	ARAB
State	:	AL
Zip	:	35016-1652
Country	:	US
Telephone Number	:	256-586-4455
Fax Number	:	256-586-4403

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

Provider Enumeration Date	:	12/18/2005
Last Update Date	:	09/11/2025

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