Provider Demographics
NPI:1831571298
Name:LUKE, BRIAN D (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:LUKE
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 1:3820 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-5336
Mailing Address - Country:US
Mailing Address - Phone:251-656-1028
Mailing Address - Fax:
Practice Address - Street 1:5301 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36618-2924
Practice Address - Country:US
Practice Address - Phone:251-380-3181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALP17241183500000X
MST-13524183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist