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ANDREW TRAVIS LUKE PHARM D

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1477147304

Individual Registrant:
 ANDREW TRAVIS LUKE PHARM D
Gender: M
Not Sole Proprietor

Location and contact information for practice:
120 W OAK ST  MC RAE HELENA, GA 31055-4335 US
Tel: 229-868-6120  Fax: 229-868-6121

Contact information for business:
120 W OAK ST  MC RAE HELENA, GA 31055-4335 US
Tel: 229-868-6120  Fax: 229-868-6121

Registration Information:
NPI: 1477147304
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH025265

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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