| NPI | 1346009180 |
|---|---|
| Doing Business As | ST LUKE COMPOUNDING PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAKER Owner 718-223-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0004X Pharmacy, Compounding Pharmacy |
| Additional Taxonomies | 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2025-04-01 |