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1669021127
GARRY PATRICK LAKE
SAN ANGELO, TX
NPI
1669021127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: TX 22885)
Enumeration Date
2019-09-08
Last Update Date
2019-09-08
Business Address
GARRY PATRICK LAKE RPh
3440 S BRYANT BLVD
SAN ANGELO, TX 76903-9308
Phone number: 325-276-6598
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Mailing Address
GARRY PATRICK LAKE RPh
3440 S BRYANT BLVD
SAN ANGELO, TX 76903-9308
Phone number: 325-276-6598
Copy
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