Provider Demographics
NPI:1992109797
Name:HILL, LUCAS GRANT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:GRANT
Last Name:HILL
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 1:5673 HOBART STREET
Mailing Address - Street 2:APARTMENT 7
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:816-805-8625
Mailing Address - Fax:
Practice Address - Street 1:815 FREEPORT ROAD
Practice Address - Street 2:GRADUATE MEDICAL EDUCATION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217
Practice Address - Country:US
Practice Address - Phone:816-805-8625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447805183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist