MEDICARE: YUEN LAM CHAN 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
1	183500000X	Pharmacist	061752	NY

General Provider Information

NPI Number	:	1679027288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YUEN LAM CHAN PHARM D

Provider Business Mailing Address
First Line	:	137 MOTT ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4718
Country	:	US
Telephone Number	:	646-963-5445
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 MOTT ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10013-4718
Country	:	US
Telephone Number	:	646-963-5445
Fax Number	:

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

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	08/24/2021

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Directions to “ YUEN LAM CHAN PHARM D” Practice Location

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