MEDICARE: MR. KEVIN LAM RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RP448146	PA

General Provider Information

NPI Number	:	1275187197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN LAM RPH

Provider Business Mailing Address
First Line	:	1130 BRENNAN DR
Second Line	:
City	:	WARMINSTER
State	:	PA
Zip	:	18974-2127
Country	:	US
Telephone Number	:	267-679-8850
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 N BROAD ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19140-5008
Country	:	US
Telephone Number	:	215-225-9704
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2019
Last Update Date	:	02/21/2020

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