Provider Demographics
NPI:1194555896
Name:SCHRUM, LUKE THADDEUS (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:THADDEUS
Last Name:SCHRUM
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 1:956 JULIA DR
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1936
Mailing Address - Country:US
Mailing Address - Phone:814-659-1464
Mailing Address - Fax:
Practice Address - Street 1:2661 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1411
Practice Address - Country:US
Practice Address - Phone:412-820-6781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458644183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist