Most Relevant Information
Provider Data
| NPI Number: | 1003542044 |
| Provider Name: | LUC LUCAJ |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 5302414395 |
Most Important Dates
| Enumeration Date: | 07/30/2022 |
| Last Updated: | 07/30/2022 |
Provider Practice Location
15121 24 MILE RD
SHELBY TOWNSHIP
MI
483152109
Practice Location Phone/Fax
| Phone: | 5866774015 |
| Fax: |
Provider Mailing Location
55940 ROMEO PLANK RD
MACOMB
MI
480421622
Provider Mailing Phone/Fax
| Phone: | 5864537002 |
| Fax: |