Provider Demographics
NPI:1497993901
Name:LUKE, CASHMIR (PHARMD/MBA)
Entity Type:Individual
Prefix:
First Name:CASHMIR
Middle Name:
Last Name:LUKE
Suffix:
Gender:M
Credentials:PHARMD/MBA
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 690311
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95269-0311
Mailing Address - Country:US
Mailing Address - Phone:925-759-2436
Mailing Address - Fax:
Practice Address - Street 1:1310 E OLIVE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3610
Practice Address - Country:US
Practice Address - Phone:800-666-5323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19006183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist