IndividualActive
Amelia Lane
NPI 1114102985 · Pharmacy Technician · White Bear Lake, MN
Provider details
- NPI number
- 1114102985
- Entity type
- Individual
- Primary specialty
- Pharmacy TechnicianPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 743079 (MN)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
915 Wildwood Rd
White Bear Lake, MN 55115-1847
Phone: (651) 426-7333
Approximate (ZIP-level) locationGet directions
Mailing address
814 Hennepin Ave Apt 306
Minneapolis, MN 55403-1837
Registry dates
- Enumerated
- 2007-12-29
- Last updated
- 2022-03-25
- Certified
- 2022-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.