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NPI Code Detail

MEDICARE: VAN Y LAM PHARMD

MEDICARE:   VAN Y LAM  PHARMD
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
1183500000XPharmacist77446CA

General Provider Information

NPI Number : 1972081289
Entity Type Code : Individual
Provider Name (Legal Business Name) : VAN Y LAM PHARMD
Provider Business Mailing Address
First Line : 1935 POTRERO GRANDE DR APT 226
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91755-7433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1935 POTRERO GRANDE DR APT 226
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91755-7433
Country : US
Telephone Number : 626-321-2812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2018
Last Update Date : 07/30/2018

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Directions to “ VAN Y LAM PHARMD” Practice Location

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