Individual
ANTHONY LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
1640 US HIGHWAY 19, HOLIDAY, FL 34691-5605
(727) 938-3731
Mailing address
1640 US HIGHWAY 19, HOLIDAY, FL 34691-5605
(727) 938-3731
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
62376
FL
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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