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Search › Arizona › 183500000X

Justin Lake, RPH

NPI 1386018406 · on the registry since 2015 · sole proprietor

Practice

Address
2700 W Frye Rd
Chandler, AZ 85224
Phone
(888) 694-7287
Organisation at this address
Caremark Arizona Specialty Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
AZ, VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona