Provider Demographics
NPI:1326664913
Name:DOAN, LANANH (RPH)
Entity Type:Individual
Prefix:
First Name:LANANH
Middle Name:
Last Name:DOAN
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 1:5944 34TH ST N STE 1
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-1211
Mailing Address - Country:US
Mailing Address - Phone:727-623-9854
Mailing Address - Fax:
Practice Address - Street 1:5944 34TH ST N STE 1
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33714-1211
Practice Address - Country:US
Practice Address - Phone:727-623-9854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS54512183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist