Individual
MAXWELL LAMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202219647
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202219647
VIRGINIA BOARD OF PHARMACY STATE LICENSE
VA
Enumeration date
06/28/2022
Last updated
06/28/2022
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