Individual
DALE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1365 STONERIDGE DR, GAHANNA, OH 43230-8701
(614) 418-1529
(614) 416-2580
Mailing address
1365 STONERIDGE DR, GAHANNA, OH 43230-8701
(614) 418-1529
(614) 416-2580
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03108942
OH
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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