Lake, Brian P

Lake, Brian P is an individual health care provider with primary practice located at 1305 W University Blvd , Odessa TX 79764-7121. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lake, Brian P can be contacted via phone (432) 580-0166.

Contact Information

Primary practice address
1305 W University Blvd Odessa TX 79764-7121
Phone: (432) 580-0166
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 47511 Texas

Profile Details

NPI number 1205164225
LBN Legal business name Lake, Brian P
Credentials PHARM D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2009
Last updated Dec 2nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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