Individual
BRENNA MICHELLE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
921 UNION CT, HOBART, IN 46342-6220
(219) 307-0128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030795A
IN
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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