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Codie Lake, PHARMD — NPI 1811715402, Barbourville, KY | NPI Central

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NPI 1811715402

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Codie Lake, PHARMD

NPI 1811715402 · Pharmacist · Barbourville, KY

Provider details

NPI number: 1811715402
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: No
License: 024622 (KY)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 024622 (KY)
Pharmacy Service Providers

Practice location

301 Parkway Plz

Barbourville, KY 40906-7429

Phone: (606) 546-5477

Approximate (ZIP-level) locationGet directions

More KY providers

Mailing address

7468 Ky 1304

Girdler, KY 40943-6406

Registry dates

Enumerated: 2024-10-01
Last updated: 2024-10-01
Certified: 2024-10-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.