Provider Demographics
NPI:1053699652
Name:LUKER, CAMERON R (PHARM D)
Entity type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:R
Last Name:LUKER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-1011
Mailing Address - Country:US
Mailing Address - Phone:315-447-5206
Mailing Address - Fax:
Practice Address - Street 1:12 JUPITER LN
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-6919
Practice Address - Country:US
Practice Address - Phone:518-689-2900
Practice Address - Fax:518-689-2901
Is Sole Proprietor?:No
Enumeration Date:2011-07-30
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055759183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist