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NPI Code Detail

MEDICARE: MRS. PATRICIA APRIL LUERA PHARM.D.

MEDICARE: MRS. PATRICIA APRIL LUERA 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
1183500000XPharmacist20759GA

General Provider Information

NPI Number : 1730262221
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA APRIL LUERA PHARM.D.
Provider Business Mailing Address
First Line : 2020 BAYSWATER RD
Second Line :
City : BRUNSWICK
State : GA
Zip : 31525-6815
Country : US
Telephone Number : 912-264-9515
Fax Number : 912-554-8397
Provider Business Practice Location Address
First Line : 2747 4TH ST
Second Line :
City : BRUNSWICK
State : GA
Zip : 31520-3714
Country : US
Telephone Number : 912-279-3353
Fax Number : 912-554-8397
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. PATRICIA APRIL LUERA PHARM.D.” Practice Location

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