Individual
MATTHEW THOMAS LUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 CANDLEWOOD DR, MANTUA, NJ 08051-2124
(856) 297-3683
Mailing address
451 CEDAR RD # CVS02390, MULLICA HILL, NJ 08062-2509
(856) 223-5101
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02896800
NJ
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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