Provider Demographics
NPI:1942532767
Name:LUKOWSKI, NANCY L (RPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:LUKOWSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5175 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4025
Mailing Address - Country:US
Mailing Address - Phone:716-515-3435
Mailing Address - Fax:716-515-1101
Practice Address - Street 1:5175 BROADWAY
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4025
Practice Address - Country:US
Practice Address - Phone:716-515-3435
Practice Address - Fax:716-515-1101
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043988183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist