Jack Lusk

NPI #1194039032 in Coppell, Texas

Provider Information

NPI Number: 1194039032
Entity Type: Individual
Name: Jack Lusk
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 3, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 820 S MACARTHUR BLVD STE 130
City: Coppell
State: Texas
ZIP Code: 75019-4215
Phone: (972) 393-1242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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