Luke Vandermause, PHARMD - Pharmacist in Green Bay, WI

Luke Vandermause, PHARMD is a Pharmacist based in Green Bay, Wisconsin. Luke Vandermause is licensed to practice in Wisconsin (license number 16786-40) and his current practice location is 116 N Military Ave, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 498-3247.

NPI number for Luke Vandermause is 1104173954 and his current mailing address is 116 N Military Ave, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104173954.

Contact Information

Luke Vandermause, PHARMD
116 N Military Ave,
Green Bay, WI 54303-3202
(920) 498-3247
Not Available

Healthcare Provider's Profile

Full NameLuke Vandermause
GenderMale
SpecialityPharmacist
Location116 N Military Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1104173954
  • Provider Enumeration Date: 08/11/2012
  • Last Update Date: 08/11/2012

Medical Identifiers

Medical identifiers for Luke Vandermause such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104173954NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 16786-40 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luke Vandermause is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Luke Vandermause, PHARMD
116 N Military Ave,
Green Bay, WI 54303-3202

Ph: () -
Luke Vandermause, PHARMD
116 N Military Ave,
Green Bay, WI 54303-3202

Ph: (920) 498-3247

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