Individual
JOSEPH S LUCIOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18430 FENKELL ST, DETROIT, MI 48223-2301
(313) 837-2340
Mailing address
18430 FENKELL ST, DETROIT, MI 48223-2301
(313) 837-2340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03135436
OH
183500000X
Pharmacist
Primary
5302027301
MI
Other
Enumeration date
06/29/2016
Last updated
07/07/2016
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