Lance Lake RPH
Pharmacist in Ozark, MO(View on Map)
Full Name
Lance Lake RPH
NPI Number
1003196569
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/27/2011
Specialties
(Taxonomies)Licenses
State
Missouri
South Dakota
License Number
2001010937
4847
Contact
Information
Purpose
Mailing
Location
Address
1675 W SOUTH ST
1675 W SOUTH ST
City
Ozark
Ozark
State
MO
MO
Postal Code
65721-5152
65721-5152
Country
US
US
Telephone Number
(417) 485-0762
(417) 485-0762
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/27/2011