Individual
LANA ALLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
12345 SAINT CHARLES ROCK RD, BRIDGETON, MO 63044-2505
(636) 770-2479
Mailing address
811 WHEATON WAY, CREVE COEUR, MO 63141-3209
(314) 315-1993
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2023012054
MO
202C00000X
Independent Medical Examiner Physician
2023012054
MO
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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