Lance Lake, RPH

Pharmacist · Ozark, MO

Individual Active NPI

NPI number 1003196569

Practice location

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

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NPI record

NPI
1003196569
Entity type
Individual (Type 1)
Enumeration date
August 27, 2011
Last updated
August 27, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 2001010937 MO
Pharmacist 183500000X 4847 SD

About Lance Lake

Lance Lake, RPH is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1675 W South St, Ozark, MO 65721-5152. The NPI number 1003196569 was assigned on August 27, 2011 and the record was last updated on August 27, 2011.

Lance Lake lists 2 licenses in the registry: #2001010937 (MO) for Pharmacist; #4847 (SD) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lance Lake, RPH?

The NPI number is 1003196569.

What is the phone number of Lance Lake?

The phone number listed for the practice location is (417) 485-0762.

Where is Lance Lake located?

1675 W South St, Ozark, MO 65721-5152.

What is the taxonomy code for Lance Lake?

The primary taxonomy code is 183500000X – Pharmacist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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