Organization
LUMICERA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON FAUST (CHIEF PHARMACY OFFICER)
(608) 310-1811
Entity
Organization
Contact information
Practice address
4 TECHNOLOGY DR STE 100, IRVINE, CA 92618-5314
(833) 210-5964
(833) 210-5968
Mailing address
4 TECHNOLOGY DR STE 100, IRVINE, CA 92618-5314
(833) 210-5964
(833) 210-5968
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Enumeration date
01/15/2025
Last updated
12/03/2025
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