BRIAN P LAKE

ODESSA, TX
NPI1205164225
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: TX  47511)
Enumeration Date2009-12-02
Last Update Date2009-12-02
Business Address
-- BRIAN P LAKE Pharm D
1305 W UNIVERSITY BLVD
ODESSA, TX 79764-7121
Phone number: 432-580-0166
Mailing Address
-- BRIAN P LAKE Pharm D
1305 W UNIVERSITY BLVD
ODESSA, TX 79764-7121
Phone number:
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