Provider Demographics
NPI:1831794718
Name:MOYER, LUCAS ANDREW (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUCAS
Middle Name:ANDREW
Last Name:MOYER
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 1:4994 HUNTER LN
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4661
Mailing Address - Country:US
Mailing Address - Phone:610-618-0868
Mailing Address - Fax:
Practice Address - Street 1:958 S KROCKS RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-9798
Practice Address - Country:US
Practice Address - Phone:610-530-7385
Practice Address - Fax:610-530-0464
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP4401581835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care