Healthcare Provider Details

I. General information

NPI: 1083750814
Provider Name (Legal Business Name): VICTORIA J LAMBERT PHARMD, CACP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 SALEM TPKE
NORWICH CT
06360-6459
US

IV. Provider business mailing address

120 PENDLETON HILL RD
VOLUNTOWN CT
06384-1918
US

V. Phone/Fax

Practice location:
  • Phone: 860-892-2711
  • Fax: 860-859-4488
Mailing address:
  • Phone: 860-376-1797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number9739
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: