Carl Lake Stanley is a Pharmacist in Gordon, Georgia. Carl Lake Stanley practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Carl Lake Stanley is 1730101353. The last update date is 2010-01-28.
Carl Lake Stanley's current location address is Po Box 249, Gordon, Georgia. You can contact this provider via phone number 4786282425 and fax number 4786282263. The mailing address for Carl Lake Stanley is Po Box 249, Gordon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Lake Stanley |
|---|---|
| Address | Po Box 249, Gordon, Georgia |
| Phone Number | 4786282425 |
| Fax Number | 4786282263 |
| Sole Proprietor | Y |
| Credentials | RPH, CDM |
NPI Number Detail
| NPI Number | 1730101353 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2010-01-28 |
Provider Mailing Address Detail
| Address | Po Box 249 |
|---|---|
| City | Gordon |
| State | Georgia (GA) |
| Post Code | 310310249 |
| Phone Number | 4786282425 |
| Fax Number | 4786282263 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 10890 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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What is the unique 10-digit identifier code issued to Carl Lake Stanley by the Centers for Medicare & Medicaid Services?
The Carl Lake Stanley has been assigned the NPI (National Provider Identifier) 1730101353 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Carl Lake Stanley is geographically located?
The Carl Lake Stanley is physically situated at the following location: Po Box 249, Gordon, GA, 310310249.
What is the Carl Lake Stanley's area of specialization and corresponding taxonomy classification?
The Carl Lake Stanley's specialty field is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their specialties.
On what date did Carl Lake Stanley receive its 1730101353 assignment from the Centers for Medicare & Medicaid Services?
The Carl Lake Stanley was assigned its 1730101353 on 2006-07-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Carl Lake Stanley's information last updated?
The Carl Lake Stanley's information was last updated on 2010-01-28.
NPI Number: 1376546309
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