Most Relevant Information
Provider Data
NPI Number: | 1003182825 |
Provider Name: | KEIRA LANE PHARMD |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | 53457 |
Most Important Dates
Enumeration Date: | 03/26/2012 |
Last Updated: | 03/26/2012 |
Provider Practice Location
8920 FLETCHER PKWY
LA MESA
CA
919423231
Practice Location Phone/Fax
Phone: | 6196679626 |
Fax: |
Provider Mailing Location
8920 FLETCHER PKWY
LA MESA
CA
919423231
Provider Mailing Phone/Fax
Phone: | 6196679626 |
Fax: |