Organization
LANE MEDICAL PHARMACY INC
Active
Other names
LANE MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LANE FRANKEL RPH (OWNER)
(310) 652-2767
Entity
Organization
Contact information
Practice address
5162 WILSHIRE BLVD, LOS ANGELES, CA 90036-4303
(310) 652-2767
(323) 591-1426
Mailing address
5162 WILSHIRE BLVD, LOS ANGELES, CA 90036-4303
(310) 652-2767
(323) 591-1426
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53609
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998654
PK
—
05
—
PHA346970
—
CA
Enumeration date
09/30/2006
Last updated
01/22/2016
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