Individual
DR. BRENT LANE DANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
809 S 25 MILE AVE, HEREFORD PHARMACY, HEREFORD, TX 79045-4801
(806) 364-3400
(806) 364-3405
Mailing address
809 S 25 MILE AVE, HEREFORD, TX 79045-4801
(806) 335-0729
(806) 372-6550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
44242
TX
Other
Enumeration date
04/11/2007
Last updated
10/05/2011
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