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NPI Code Detail

MEDICARE: MANJU LAMA

MEDICARE:   MANJU  LAMA
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
1183500000XPharmacist12453977-1701UT

General Provider Information

NPI Number : 1164383964
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANJU LAMA
Provider Business Mailing Address
First Line : 876 E 800 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-3634
Country : US
Telephone Number : 801-355-5257
Fax Number :
Provider Business Practice Location Address
First Line : 876 E 800 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-3634
Country : US
Telephone Number : 801-355-5257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2025
Last Update Date : 11/20/2025

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Directions to “ MANJU LAMA ” Practice Location

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