NPI 1003196569

Lance Lake, RPH

Practitioner Pharmacist Ozark, MO

Practice location

Address: 1675 W South St, Ozark, MO 65721-5152
Phone: (417) 485-0762
Fax: (417) 485-0793

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2001010937 (MO)

Other Pharmacist providers in Missouri →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 4847 (SD)

Registry record

NPI: 1003196569
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2011
Record last updated: 27 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.