NPI 1003064098

Jerry Gary Lucks, RPH

Practitioner Pharmacist Brooklyn, NY

Practice location

Address: 602 Brighton Beach Ave, Brooklyn, NY 11235-6456
Phone: (718) 332-3708
Fax: (718) 332-5737

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 028282 (NY)

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Registry record

NPI: 1003064098
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2008
Record last updated: 3 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.