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

Connor Trenton Lake, PHARMD

Individual provider Pharmacist · NPI 1265263701

Connor Trenton Lake, PHARMD is a Pharmacist in Hannibal, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2024.

Licensed in
IL, MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

3650 Stardust Dr
Hannibal, MO 63401-2411
Phone: (573) 406-0682
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2024031293 (MO)
Pharmacist Taxonomy 183500000X · Licence 051306670 (IL)

Record details

NPI number1265263701
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESJanuary 22, 2025
Certification dateJanuary 22, 2025

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