Individual
DR. JEREMY HEATH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
318 JACKSON AVE S, RUSSELLVILLE, AL 35653-2207
(256) 332-8550
(256) 332-8081
Mailing address
318 JACKSON AVE S, RUSSELLVILLE, AL 35653-2207
(256) 332-8550
(256) 332-8081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15154
AL
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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