Provider Demographics
NPI:1639375934
Name:LUEBKE, DANA K (PHARM D)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:K
Last Name:LUEBKE
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:K
Other - Last Name:KEMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:3512 HIGHWAY 17
Mailing Address - Street 2:
Mailing Address - City:DEWITT
Mailing Address - State:AR
Mailing Address - Zip Code:72042-3633
Mailing Address - Country:US
Mailing Address - Phone:870-946-0221
Mailing Address - Fax:
Practice Address - Street 1:3512 HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:DEWITT
Practice Address - State:AR
Practice Address - Zip Code:72042-3633
Practice Address - Country:US
Practice Address - Phone:870-946-0221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD08461183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist