Jesse Lee Luhman, PHARMACIST

Individual provider Active NPI Pharmacist · Millwood, WA

NPI 1174098891 · NPPES record last updated Dec 23, 2022

Key facts

NPI
1174098891
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
PH60871937 (WA)
Practice address
2702 N Argonne Rd
Millwood, WA 99212-2305
Phone
(509) 892-1637
Fax
(509) 892-3726
NPI assigned
Oct 9, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PH60871937WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Walgreen Co Past
since Dec 28, 2022
Accepting new patients
Walgreen Co Past
since Dec 28, 2022
Accepting new patients
Thrifty Payless Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH60871937 WA Yes

Addresses

Primary practice location

2702 N Argonne Rd
Millwood, WA 99212-2305

Mailing address

855 N Garden PLZ
East Wenatchee, WA 98802-4654
Phone (509) 699-8517

Other providers in Millwood, WA

All providers in Millwood, WA · Pharmacist in Washington

Sources for this page

Verify at the official NPI Registry.