Provider Demographics
NPI:1073826426
Name:HARLAN, LANA M (RPH)
Entity Type:Individual
Prefix:
First Name:LANA
Middle Name:M
Last Name:HARLAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MO
Mailing Address - Zip Code:65281-1322
Mailing Address - Country:US
Mailing Address - Phone:660-388-5242
Mailing Address - Fax:
Practice Address - Street 1:308 E 6TH ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MO
Practice Address - Zip Code:65281-1322
Practice Address - Country:US
Practice Address - Phone:660-388-5242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO041831183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist