Individual
MELINDA BAXTER LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1215 S KIHEI RD, KIHEI, HI 96753-5220
(808) 879-2033
Mailing address
1215 S KIHEI RD, KIHEI, HI 96753-5220
(808) 879-2033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3579
HI
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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