MEDICARE: LAM'S PHARMACY INC

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	333600000X	Pharmacy	650	NV

General Provider Information

NPI Number	:	1275513178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LAM'S PHARMACY INC

Provider Business Mailing Address
First Line	:	2202 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2229
Country	:	US
Telephone Number	:	702-384-3784
Fax Number	:	702-384-3796

Provider Business Practice Location Address
First Line	:	2202 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2232
Country	:	US
Telephone Number	:	702-384-3784
Fax Number	:	702-384-3796

Authorized Official
Title or Position	:	PHARMACIST/OWNER
Name	:	MR. ROGER LAM
Credential	:
Telephone Number	:	702-384-3784

Provider Enumeration Date	:	01/18/2006
Last Update Date	:	08/22/2020

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Directions to “LAM'S PHARMACY INC ” Practice Location

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