Dr. Lucas Derrough, Pharm.D.
Pharmacist in Rogers, AR. Individual provider (NPI-1).
NPI number1366048522
StatusActive
Last updated in NPPESDec 11, 2020
Details
- NPI
- 1366048522
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lucas Derrough
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2020
- Certification date
- Dec 11, 2020
- Last updated
- Dec 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PD13185 | AR | Yes |
Practice location
103 N Dixieland RdRogers, AR 72756-3203
Phone 479-631-0210
Mailing address
903 Charing CrossCave Springs, AR 72718-5511
Phone 903-826-9410
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