| Lance Lake, RPH | |
|
1675 W South St, Ozark, MO 65721-5152 | |
| (417) 485-0762 | |
| (417) 485-0793 |
| Full Name | Lance Lake |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 1675 W South St, Ozark, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003196569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 2001010937 (Missouri) | Primary |
| 183500000X | Pharmacist | 4847 (South Dakota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Lance Lake, RPH 1675 W South St, Ozark, MO 65721-5152 Ph: (417) 485-0762 | Lance Lake, RPH 1675 W South St, Ozark, MO 65721-5152 Ph: (417) 485-0762 |
Ms. Kristie L Meacheam Wallace, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2004 W Marler Ln, Ozark, MO 65721 Phone: 417-581-3288 | |
Carl Hefner, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1475 W South St, Ozark, MO 65721 Phone: 417-860-7424 | |
Jerry Lee Stankewitz, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1675 W South St, Ozark, MO 65721 Phone: 417-631-7138 | |
Victoria Krysten Smith, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1675 W South St, Ozark, MO 65721 Phone: 417-485-0762 | |
Dr. Andrew Estes, PHARM.D Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 5540 N Farmer Branch Rd, Ozark, MO 65721 Phone: 417-485-8555 | |
Kristy Delong, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2004 W Marler Ln, Ozark, MO 65721 Phone: 417-581-3238 |