MEDICARE: DR. NANCY 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	85841	CA

General Provider Information

NPI Number	:	1841943214
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NANCY LAM PHARMD

Provider Business Mailing Address
First Line	:	28416 COLE PL
Second Line	:
City	:	HAYWARD
State	:	CA
Zip	:	94544-5434
Country	:	US
Telephone Number	:	714-580-3725
Fax Number	:

Provider Business Practice Location Address
First Line	:	1757 W SAN CARLOS ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-5222
Country	:	US
Telephone Number	:	408-878-0112
Fax Number	:

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

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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