Individual
MR. MICHAEL DAVID DELUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3908 LAUREL OAK LN, LEXINGTON, KY 40514-1732
(859) 421-4347
Mailing address
3908 LAUREL OAK LN, LEXINGTON, KY 40514-1732
(859) 421-4347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012045
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012045
PHARMACY
KY
Enumeration date
04/13/2020
Last updated
04/14/2020
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