MEDICARE: LANA PUN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH44356	CA

General Provider Information

NPI Number	:	1811823065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANA PUN PHARMD

Provider Business Mailing Address
First Line	:	250 MAGNOLIA AVE
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030-2527
Country	:	US
Telephone Number	:	650-934-7150
Fax Number	:

Provider Business Practice Location Address
First Line	:	795 EL CAMINO REAL
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94301-2302
Country	:	US
Telephone Number	:	650-934-7150
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2026
Last Update Date	:	06/23/2026

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