Individual
DR. LUKAS DANIEL GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845
(260) 266-6969
Mailing address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-6969
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26027944A
IN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0010596
CT
Other
Enumeration date
07/16/2012
Last updated
09/17/2019
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