MEDICARE: WINNIE 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
1	183500000X	Pharmacist	68099	CA

General Provider Information

NPI Number	:	1942617436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINNIE LAM PHARM.D.

Provider Business Mailing Address
First Line	:	580 BAILEY RD
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4304
Country	:	US
Telephone Number	:	925-458-0955
Fax Number	:	925-458-5348

Provider Business Practice Location Address
First Line	:	580 BAILEY RD
Second Line	:
City	:	BAY POINT
State	:	CA
Zip	:	94565-4304
Country	:	US
Telephone Number	:	925-458-0955
Fax Number	:	925-458-5348

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

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	07/16/2014

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Directions to “ WINNIE LAM PHARM.D.” Practice Location

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