Provider Demographics
NPI:1528315991
Name:LUKOSE, JAMES (PHARMD, RPH, BSN, RN)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:LUKOSE
Suffix:
Gender:M
Credentials:PHARMD, RPH, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3117 MEADOWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-3571
Mailing Address - Country:US
Mailing Address - Phone:214-680-0144
Mailing Address - Fax:
Practice Address - Street 1:3117 MEADOWOOD DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-3571
Practice Address - Country:US
Practice Address - Phone:214-680-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-05
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX766259163W00000X
NE13986183500000X
TX52133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No163W00000XNursing Service ProvidersRegistered Nurse