Individual
MARK GREGORY LUEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8021 MILLER RD, SWARTZ CREEK, MI 48473-1342
(810) 635-3355
(810) 635-9856
Mailing address
8021 MILLER RD, SWARTZ CREEK, MI 48473-1342
(810) 635-3355
(810) 635-9856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5301000555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2333730
NABP NUMBER
—
05
—
2541912
—
MI
Enumeration date
10/16/2006
Last updated
10/17/2018
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