Male or Other

Dr. Jeremy H. Lane PHARMD

Pharmacist in Russellville, AL(View on Map)

Full Name

Dr. Jeremy Heath Lane PHARMD

NPI Number

1013233592

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/09/2010

Specialties

(Taxonomies)

Code

183500000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

15154

Contact
Information

Purpose

Mailing
Location

Address

318 JACKSON AVE S
318 JACKSON AVE S

City

Russellville
Russellville

State

AL
AL

Postal Code

35653-2207
35653-2207

Country

US
US

Telephone Number

(256) 332-8550
(256) 332-8550

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/09/2010

Provider Address

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