Provider Demographics
NPI:1437553542
Name:DO, LUAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LUAN
Middle Name:
Last Name:DO
Suffix:
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 1:915 MERRIMON AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2304
Mailing Address - Country:US
Mailing Address - Phone:828-253-4350
Mailing Address - Fax:828-253-1589
Practice Address - Street 1:915 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2304
Practice Address - Country:US
Practice Address - Phone:828-255-8949
Practice Address - Fax:828-255-8534
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22005183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist