CODIE ALLEN LAKE

BARBOURVILLE, KY
NPI1811715402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: KY  024622)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
CODIE ALLEN LAKE PHARMD
301 PARKWAY PLZ
BARBOURVILLE, KY 40906-7429
Phone number: 606-546-5477
Mailing Address
CODIE ALLEN LAKE PHARMD
7468 KY 1304
GIRDLER, KY 40943-6406
Phone number: 606-622-9923
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