Provider Demographics
NPI:1689436503
Name:DUKES, LISA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LISA
Middle Name:
Last Name:DUKES
Suffix:
Gender:F
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 1:300 COUNTRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HANOVER TWP
Mailing Address - State:PA
Mailing Address - Zip Code:18706-5312
Mailing Address - Country:US
Mailing Address - Phone:570-417-2655
Mailing Address - Fax:
Practice Address - Street 1:2280 SANS SOUCI PKWY
Practice Address - Street 2:
Practice Address - City:HANOVER TWP
Practice Address - State:PA
Practice Address - Zip Code:18706-5049
Practice Address - Country:US
Practice Address - Phone:570-812-0016
Practice Address - Fax:570-812-0017
Is Sole Proprietor?:No
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481598183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist