Provider Demographics
NPI:1376867549
Name:LUXTON, DENISE BOST
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:BOST
Last Name:LUXTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:838 HOPEWELL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7221
Mailing Address - Country:US
Mailing Address - Phone:828-268-0727
Mailing Address - Fax:828-268-5093
Practice Address - Street 1:2174 BLOWING ROCK RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-6154
Practice Address - Country:US
Practice Address - Phone:828-268-0727
Practice Address - Fax:828-268-5093
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06688183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist