MEDICARE: TAMMIE PHUONG 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	75945	TX

General Provider Information

NPI Number	:	1376376269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMIE PHUONG LAM PHARMD

Provider Business Mailing Address
First Line	:	12930 WESTLEIGH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3714
Country	:	US
Telephone Number	:	832-966-2603
Fax Number	:

Provider Business Practice Location Address
First Line	:	8503 GULF FWY STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5038
Country	:	US
Telephone Number	:	832-214-2054
Fax Number	:	832-844-5617

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

Provider Enumeration Date	:	08/26/2024
Last Update Date	:	05/04/2026

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