| NPI | 1235580697 |
|---|---|
| Doing Business As | LUMICERA HEALTH SERVICES, LLC |
| Entity Type | Organization |
| Authorized Contact | PETER NIELSON Pharmacist In Charge 608-310-1837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy Specialty Pharmacy (Licence: AZ Y006807) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-06-14 |