MEDICARE: CHELSEA 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	29049	NC

General Provider Information

NPI Number	:	1659920627
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA LAM PHARMD

Provider Business Mailing Address
First Line	:	150 PETERS CREEK PKWY APT 104
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27101-3682
Country	:	US
Telephone Number	:	801-652-5646
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 GAMMON LN
Second Line	:
City	:	CLEMMONS
State	:	NC
Zip	:	27012-9052
Country	:	US
Telephone Number	:	336-293-9704
Fax Number	:

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

Provider Enumeration Date	:	09/11/2019
Last Update Date	:	09/11/2019

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Directions to “ CHELSEA LAM PHARMD” Practice Location

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