Individual
SHAKA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACY TECHNICIAN
Contact information
Practice address
1507 RICHARD DR, KILLEEN, TX 76541-8231
(254) 833-0256
Mailing address
1507 RICHARD DR, KILLEEN, TX 76541-8231
(254) 833-0256
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
197293
TX
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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