| Carl Lake Stanley Jr, RPH, CDM | |
|
240 Milledgeville Hwy, Gordon, GA 31031-3827 | |
| (478) 628-2425 | |
| (478) 628-2263 |
| Full Name | Carl Lake Stanley Jr |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 240 Milledgeville Hwy, Gordon, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730101353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 10890 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carl Lake Stanley Jr, RPH, CDM Po Box 249, Gordon, GA 31031-0249 Ph: (478) 628-2425 | Carl Lake Stanley Jr, RPH, CDM 240 Milledgeville Hwy, Gordon, GA 31031-3827 Ph: (478) 628-2425 |
Carla Stanley Sappe, PHARMD, CDM Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 240 Milledgeville Hwy, Gordon, GA 31031 Phone: 478-628-2425 | |
Jill Varner Stanley, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 240 Milledgeville Hwy, Gordon, GA 31031 Phone: 478-628-2481 | |
Benjamin Lake Stanley, PHARM D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 240 Milledgeville Hwy, Gordon, GA 31031 Phone: 478-628-2481 Fax: 478-628-2263 |