Organization
LUMICERA HEALTH SERVICES LLC
Active
Other names
Lumicera Health Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PETER NIELSON (PHARMACIST IN CHARGE)
(608) 310-1837
Entity
Organization
Contact information
Practice address
9185 E PIMA CENTER PKWY STE 200, SCOTTSDALE, AZ 85258-4646
(855) 847-3553
(855) 847-3558
Mailing address
9185 E PIMA CENTER PKWY STE 200, SCOTTSDALE, AZ 85258-4646
(855) 847-3553
(855) 847-3558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
Y006807
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2160812
PK
—
Enumeration date
06/28/2016
Last updated
02/04/2025
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