Individual provider · Type 1 NPI

Carl Lake Stanley Jr., RPH, CDM

Pharmacist · Gordon, GA

NPI number 1730101353 Active

Practice location

240 Milledgeville Hwy
Gordon, GA 31031-3827

Fax (478) 628-2263

Mailing address

PO Box 249
Gordon, GA 31031-0249

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X10890 (GA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1730101353

Carl Lake Stanley Jr., RPH, CDM's National Provider Identifier is 1730101353, issued on Jul 24, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Gordon, GA. The record was last updated on Jan 28, 2010.