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

Mr. Justin William Lake, RPH

Individual provider Pharmacist · NPI 1386018406

Mr. Justin William Lake, RPH is a Pharmacist in Chandler, Arizona. Practices as a sole proprietor. Licensed in Arizona and Virginia.

Licensed in
AZ, VA
In the registry since
2015
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

2700 W Frye Rd
Chandler, AZ 85224-4950
Phone: (888) 694-7287
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence S014383 (AZ)
Pharmacist Taxonomy 183500000X · Licence 0202011748 (VA)

Record details

NPI number1386018406
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedDecember 1, 2015
Last updated in NPPESDecember 1, 2015

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