Provider Demographics
NPI:1437937091
Name:LUECHT, ERIC J (RPH)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:J
Last Name:LUECHT
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14012 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-8704
Mailing Address - Country:US
Mailing Address - Phone:602-621-0241
Mailing Address - Fax:
Practice Address - Street 1:8888 E RAINTREE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3951
Practice Address - Country:US
Practice Address - Phone:480-426-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA17853183500000X
TN45937183500000X
AZ10489183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist