MEDICARE: VUONG 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
1	183500000X	Pharmacist	59928	CA

General Provider Information

NPI Number	:	1184286114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VUONG LAM PHARMD

Provider Business Mailing Address
First Line	:	4486 MAYBECK TER
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94536-7078
Country	:	US
Telephone Number	:	510-676-7481
Fax Number	:

Provider Business Practice Location Address
First Line	:	34101 FREMONT BLVD
Second Line	:
City	:	FREMONT
State	:	CA
Zip	:	94555-2230
Country	:	US
Telephone Number	:	510-794-9735
Fax Number	:

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

Provider Enumeration Date	:	06/29/2019
Last Update Date	:	06/29/2019

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Directions to “ VUONG LAM PHARMD” Practice Location

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