Provider Demographics
NPI:1720759590
Name:LUCAS, GREGORY ALLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:ALLAN
Last Name:LUCAS
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 1:2021 WHARTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1915
Mailing Address - Country:US
Mailing Address - Phone:412-488-1802
Mailing Address - Fax:412-488-1169
Practice Address - Street 1:2021 WHARTON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1915
Practice Address - Country:US
Practice Address - Phone:412-488-1802
Practice Address - Fax:412-488-1169
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP446181183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist