Provider Demographics
NPI:1003183286
Name:LUTHER, JOHN W III (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:LUTHER
Suffix:III
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 VALERIE CT
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89451-8506
Mailing Address - Country:US
Mailing Address - Phone:775-338-0068
Mailing Address - Fax:
Practice Address - Street 1:407 VALERIE CT
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-8506
Practice Address - Country:US
Practice Address - Phone:775-338-0068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15273183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist