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

Codie Allen Lake, PHARMD

Individual provider Pharmacist · NPI 1811715402

Codie Allen Lake, PHARMD is a Pharmacist in Barbourville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

301 Parkway Plz
Barbourville, KY 40906-7429
Phone: (606) 546-5477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 024622 (KY)

Record details

NPI number1811715402
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 1, 2024
Last updated in NPPESOctober 1, 2024
Certification dateOctober 1, 2024
Mailing address7468 Ky 1304, Girdler, KY 40943-6406

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