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
(855) 847-3553
Mailing address
310 INTEGRITY DR, MADISON, WI 53717-1450
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/03/2025
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