Individual
JEANELLE RENE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7300 STATE ROUTE 161 E, PLAIN CITY, OH 43064-9276
(614) 733-5012
Mailing address
12185 ANDREWS DR, PLAIN CITY, OH 43064-9148
(248) 459-9455
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03328819
OH
Other
Enumeration date
03/24/2018
Last updated
03/24/2018
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