Individual
LUKE THROCKMORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D.
Contact information
Practice address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
(812) 353-2107
Mailing address
1302 S ROGERS ST, BLOOMINGTON, IN 47403-4752
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26027187A
IN
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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