Provider Demographics
NPI:1013294305
Name:SANTORO, LUKE (RPH)
Entity Type:Individual
Prefix:
First Name:LUKE
Middle Name:
Last Name:SANTORO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SCAMMON ST
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-5121
Mailing Address - Country:US
Mailing Address - Phone:207-284-9955
Mailing Address - Fax:207-284-2016
Practice Address - Street 1:4 SCAMMON ST
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-5121
Practice Address - Country:US
Practice Address - Phone:207-284-9955
Practice Address - Fax:207-284-2016
Is Sole Proprietor?:No
Enumeration Date:2011-11-15
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPR5298183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist