Individual
JAIME ANN LUKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6920 OLIVE BLVD, UNIVERSITY CITY, MO 63130-2516
(314) 721-3276
Mailing address
13987 NEW HALLS FERRY RD, FLORISSANT, MO 63033-2943
(314) 831-1515
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021038996
MO
Other
Enumeration date
09/29/2021
Last updated
09/20/2023
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