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NPI Code Detail

MEDICARE: LUKAS J ATWOOD PHARM D

MEDICARE: LUKAS J ATWOOD PHARM D
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
1183500000XPharmacist118279MN
2183500000XPharmacistS017702AZ

General Provider Information

NPI Number : 1649595612
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKAS J ATWOOD PHARM D
Provider Business Mailing Address
First Line : 8332 W THUNDERBIRD RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4822
Country : US
Telephone Number : 623-776-3006
Fax Number :
Provider Business Practice Location Address
First Line : 8332 W THUNDERBIRD RD
Second Line :
City : PEORIA
State : AZ
Zip : 85381-4822
Country : US
Telephone Number : 623-776-3006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2010
Last Update Date : 03/27/2014

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Directions to “ LUKAS J ATWOOD PHARM D” Practice Location

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