Individual
FANI LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
550 9TH AVE S, ST PETERSBURG, FL 33701-5210
(727) 767-8212
(727) 767-8243
Mailing address
550 9TH AVE S, ST PETERSBURG, FL 33701-5210
(727) 767-8212
(727) 767-8243
Taxonomy
Speciality
Code
Description
License number
State
1835P0200X
Pediatric Pharmacist
Primary
PS38690
FL
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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