Individual
JUSTIN MARCUS LUCKADUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1132 ANNAPOLIS RD, ODENTON, MD 21113-1647
(410) 874-1460
(410) 874-1464
Mailing address
1132 ANNAPOLIS RD, ODENTON, MD 21113-1647
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
25456
MD
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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