DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AMY LUCKENBILL MULLANE RPH

MEDICARE: AMY LUCKENBILL MULLANE RPH
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
1183500000XPharmacist051-037208IL

General Provider Information

NPI Number : 1902189616
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY LUCKENBILL MULLANE RPH
Provider Business Mailing Address
First Line : 102 W VANDALIA ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 102 W VANDALIA ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1910
Country : US
Telephone Number : 618-692-7251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2011
Last Update Date : 09/28/2011

Similar Medicare Providers

1780536219 — RAIFE DENIZ DEMIRER RPH
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax:
1447265632 — WALGREEN CO
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax:
1265729669 — KEVIN JAMES TRACKWELL PHARM.D.
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax:
1366873283 — JACQUELINE ELIZABETH VOGEL PHARMD
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax:
1972117869 — LAUREN SCOGGINS PHARMD
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax: 618-692-7348
1437897352 — WALGREEN CO.
Practice Location Address:
102 W VANDALIA ST
EDWARDSVILLE, IL
62025-1910
Practice Phone: 618-692-7251
Practice Fax: 618-692-7348

Directions to “ AMY LUCKENBILL MULLANE RPH” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.