NPI | 1215020656 |
---|---|
Doing Business As | LANE MEDICAL PHARMACY |
Entity Type | Organization |
Authorized Contact | LANE FRANKEL Owner 310-652-2767 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53609) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2006-09-30 |
Last Update Date | 2016-01-22 |