Provider Demographics
NPI:1205154564
Name:LUKASZEWSKI, TODD (RPH)
Entity type:Individual
Prefix:MR
First Name:TODD
Middle Name:
Last Name:LUKASZEWSKI
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 1:7 STONY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:GORHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03581-1350
Mailing Address - Country:US
Mailing Address - Phone:603-466-3933
Mailing Address - Fax:
Practice Address - Street 1:200 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-2044
Practice Address - Country:US
Practice Address - Phone:603-752-3952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3090183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist