Carl Lake Stanley JR., RPH, CDM
NPI #1730101353 in Gordon, Georgia
Provider Information
- NPI Number
- 1730101353
- Entity Type
- Individual
- Name
- Carl Lake Stanley JR., RPH, CDM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- RPH, CDM
- Enumeration Date
- Jul 24, 2006
- Last Updated
- Jan 28, 2010
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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