Tia Lane, PHARMD

NPI #1023680261 in Jacksonville, Florida

Provider Information

NPI Number: 1023680261
Entity Type: Individual
Name: Tia Lane, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Jul 16, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 5244 EDGEWOOD CT STE 2
City: Jacksonville
State: Florida
ZIP Code: 32254-3601
Phone: (800) 218-8587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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