Male or Other

Alan D. Lane RPH

Pharmacist in Bourbon, MO(View on Map)

Full Name

Alan D Lane RPH

NPI Number

1093131757

NPI Type

Individual Provider

Gender

Male

Enumeration Date

03/05/2014

Specialties

(Taxonomies)

Code

183500000X

Primary Taxonomy

Yes

Licenses

State

Missouri

License Number

2011005721

Contact
Information

Purpose

Mailing
Location

Address

599 HIGHWAY DD APT 6
386 E PINE ST

City

Cuba
Bourbon

State

MO
MO

Postal Code

65454
65441-7506

Country

US
US

Telephone Number

(573) 415-6081
(573) 732-4418

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

Data last updated by provider on 03/05/2014

Provider Address