Individual
MR. LUCAS JAMES COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5500 LAKESIDE AVE, RICHMOND, VA 23228-5719
(804) 261-4855
(804) 262-3058
Mailing address
7906 ERINTON DR, CHESTERFIELD, VA 23838-5543
(804) 751-0161
(804) 768-1685
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202209749
VA
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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