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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARL LAKE STANLEY JR., RPH, CDM

Active Sole Proprietor

CARL LAKE STANLEY JR., RPH, CDM is a Pharmacist healthcare provider located in GORDON, Georgia. NPI 1730101353 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · GORDON, GA

Registration Details

NPI Number
1730101353
Provider Type
Individual
Gender
Male
NPI Issued
Jul 24, 2006 (20.048711191328 yrs)
Last Updated
Jan 28, 2010
License
10890 (GA)
Sole Proprietor
Yes

Practice Information

Address
240 MILLEDGEVILLE HWY
GORDON, GA, 310313827
Browse GA providers · Browse ZIP 31031
Phone
4786282425
Fax
4786282263
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in GORDON, GA

Name Credential NPI
CARLA STANLEY SAPPE PHARMD, CDM 1366468522
BENJAMIN LAKE STANLEY PHARM D. 1770807935
JILL VARNER STANLEY 1669796827
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.