Organization
BLU LANE ENTERPRISE LLC
Active
Other names
Blu Lane Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
T'ANDRA AUBREY (MANAGING OFFICER)
(346) 516-1798
Entity
Organization
Contact information
Practice address
707 S FRY RD STE 285, KATY, TX 77450-2258
(346) 594-1043
(346) 594-1043
Mailing address
707 S FRY RD STE 285, KATY, TX 77450-2258
(346) 594-1043
(346) 594-1043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
11/06/2023
Last updated
12/18/2023
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