Individual
JACOB LUKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1540 28TH ST SE, GRAND RAPIDS, MI 49508
(616) 728-2610
(616) 728-2660
Mailing address
1540 28TH ST SE, GRAND RAPIDS, MI 49508
(616) 728-2610
(616) 728-2660
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302040766
MI
Other
Enumeration date
06/19/2014
Last updated
12/09/2015
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