Provider Demographics
NPI:1134106792
Name:LUCHINO, PAUL FRANKLIN (RPH)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:FRANKLIN
Last Name:LUCHINO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1212
Mailing Address - Street 2:
Mailing Address - City:VAUGHN
Mailing Address - State:WA
Mailing Address - Zip Code:98394-1212
Mailing Address - Country:US
Mailing Address - Phone:253-857-0096
Mailing Address - Fax:
Practice Address - Street 1:3601 6TH AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-5405
Practice Address - Country:US
Practice Address - Phone:253-761-1248
Practice Address - Fax:253-761-7462
Is Sole Proprietor?:No
Enumeration Date:2005-12-26
Last Update Date:2008-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00020857183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist