Provider Demographics
NPI:1164742318
Name:BARNES, LUKAS G (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LUKAS
Middle Name:G
Last Name:BARNES
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4211 UNION DEPOSIT RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2802
Mailing Address - Country:US
Mailing Address - Phone:717-920-1323
Mailing Address - Fax:717-920-1319
Practice Address - Street 1:4211 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2802
Practice Address - Country:US
Practice Address - Phone:717-920-1323
Practice Address - Fax:717-920-1319
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-09
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP443633183500000X
PARPI001610183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist