Individual
NICOLE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
574 S LANDMARK AVE, BLOOMINGTON, IN 47403-3239
(812) 335-0000
Mailing address
8134 DOWDEN DR, MARTINSVILLE, IN 46151-9349
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26022462A
IN
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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