Provider Demographics
NPI:1679662605
Name:LUKE, CARLA MARIA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CARLA
Middle Name:MARIA
Last Name:LUKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 SOUTHWOOD DR.
Mailing Address - Street 2:
Mailing Address - City:GRETNA
Mailing Address - State:LA
Mailing Address - Zip Code:70056-7866
Mailing Address - Country:US
Mailing Address - Phone:504-393-8301
Mailing Address - Fax:
Practice Address - Street 1:273 SOUTHWOOD DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:LA
Practice Address - Zip Code:70056-7866
Practice Address - Country:US
Practice Address - Phone:504-393-8301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA110631835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy