MEDICARE: DR. ABBIE LUEKEN PHARMD, BCPS

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	23996	CO
2	1835P1200X	Pharmacotherapy Pharmacist	26028135A	IN

General Provider Information

NPI Number	:	1144892704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ABBIE LUEKEN PHARMD, BCPS

Provider Business Mailing Address
First Line	:	6204 CASTLEGATE DR W APT 1202
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80108-8620
Country	:	US
Telephone Number	:	812-345-7373
Fax Number	:

Provider Business Practice Location Address
First Line	:	4545 E 9TH AVE STE 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80220-3902
Country	:	US
Telephone Number	:	303-333-4678
Fax Number	:

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

Provider Enumeration Date	:	07/13/2021
Last Update Date	:	11/17/2023

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