Organization
LUMINARA COMPOUNDING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TRUDEL (BILLING)
(781) 966-2700
Entity
Organization
Contact information
Practice address
21 GREEN ST, WALTHAM, MA 02451-1646
(781) 226-6922
Mailing address
21 GREEN ST, WALTHAM, MA 02451-1646
(781) 226-6922
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/17/2026
Last updated
02/17/2026
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