Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carl Lake Stanley Jr., RPH, CDM

Individual provider Pharmacist · NPI 1730101353

Carl Lake Stanley Jr., RPH, CDM is a Pharmacist in Gordon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2006
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

See every abbreviation used in this directory →

Practice location Address checks out

240 Milledgeville Hwy
Gordon, GA 31031-3827
Phone: (478) 628-2425
Fax: (478) 628-2263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 10890 (GA)

Record details

NPI number1730101353
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH , CDM
Sole proprietorYes
NPI enumeratedJuly 24, 2006
Last updated in NPPESJanuary 28, 2010

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