Individual
LANE MYLES CHERAMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
136 HEALTH PARK DR, MENA, AR 71953-9072
(985) 258-7335
Mailing address
223 E 87TH ST, CUT OFF, LA 70345-3831
(985) 258-7335
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PD09686
AR
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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