IndividualActive
Luke Vander Weide, PHARM.D.
NPI 1568857134 · Ambulatory Care Pharmacist · Vancouver, WA
Provider details
- NPI number
- 1568857134
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 03234108 (OH)
Practice location
16811 Se Mcgillivray Blvd
#101
Vancouver, WA 98683-3404
Phone: (360) 750-3206
Mailing address
16811 Se Mcgillivray Blvd
Vancouver, WA 98683-3404
Registry dates
- Enumerated
- 2015-04-01
- Last updated
- 2016-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.