Individual
MS. ANDREA BETH LUKACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15180 TAMIAMI TRL, NORTH PORT, FL 34287-2742
(941) 423-6100
(941) 423-6700
Mailing address
15180 TAMIAMI TRL, NORTH PORT, FL 34287-2742
(941) 423-6100
(941) 423-6700
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS47306
FL
183500000X
Pharmacist
RP440319
PA
Other
Enumeration date
04/03/2010
Last updated
08/09/2013
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