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NPI Code Detail

MEDICARE: MISS MAINA M LAM PHARM D

MEDICARE: MISS MAINA M LAM PHARM D
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
1183500000XPharmacist54664CA

General Provider Information

NPI Number : 1457634859
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS MAINA M LAM PHARM D
Provider Business Mailing Address
First Line : 3232 FOOTHILL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3113
Country : US
Telephone Number : 510-261-4552
Fax Number : 510-261-7604
Provider Business Practice Location Address
First Line : 3232 FOOTHILL BLVD
Second Line :
City : OAKLAND
State : CA
Zip : 94601-3113
Country : US
Telephone Number : 510-261-4552
Fax Number : 510-261-7604
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2011
Last Update Date : 09/21/2011

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Directions to “ MISS MAINA M LAM PHARM D” Practice Location

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