Individual provider · Type 1 NPI

Luke Vandermause, PharmD

Pharmacist · Green Bay, WI

NPI number 1104173954 Active

Practice location

116 N Military Ave
Green Bay, WI 54303-3202

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	16786-40 (WI)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1104173954

Luke Vandermause, PharmD's National Provider Identifier is 1104173954, issued on Aug 11, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 11, 2012.