Provider Demographics
NPI:1316609530
Name:LUCAS, DREW JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DREW
Middle Name:JAMES
Last Name:LUCAS
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 1:806 E PITTSBURGH ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2652
Mailing Address - Country:US
Mailing Address - Phone:724-836-7041
Mailing Address - Fax:724-836-2005
Practice Address - Street 1:806 E PITTSBURGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2652
Practice Address - Country:US
Practice Address - Phone:724-836-7041
Practice Address - Fax:724-836-2005
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP456265183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist