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Search › Texas › 183500000X

Garry Lake, RPH

NPI 1669021127 · on the registry since 2019

Practice

Address
3440 S Bryant Blvd
San Angelo, TX 76903
Phone
(325) 276-6598
Fax
(325) 276-6597
Organisation at this address
Wal-Mart Stores Texas Llc
Wal-Mart Stores Texas, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-08

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 Texas