Brenton Carter Lake, PHARM.D.

NPI #1538406590 in Augusta, Georgia

Provider Information

NPI Number
1538406590
Entity Type
Individual
Name
Brenton Carter Lake, PHARM.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Jan 10, 2013
Last Updated
Dec 17, 2015

Practice Location

Address
1120 15TH ST
Address 2
2ND FLOOR, ROOM BT2601
State
Georgia
ZIP Code
30912-0004
Phone
(706) 446-1234

Specialties & Taxonomy Codes

Specialty
Pharmacist

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