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

Individual provider Pharmacist · NPI 1003196569

Lance Lake, RPH is a Pharmacist in Ozark, Missouri. Practices as a sole proprietor. Licensed in Missouri and South Dakota.

Licensed in
MO, SD
In the registry since
2011
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1675 W South St
Ozark, MO 65721-5152
Phone: (417) 485-0762
Fax: (417) 485-0793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2001010937 (MO)
Pharmacist Taxonomy 183500000X · Licence 4847 (SD)

Record details

NPI number1003196569
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 27, 2011
Last updated in NPPESAugust 27, 2011
Mailing address1675 W South St, Ozark, MO 65721-5152

Other providers in Ozark