Individual
TOMMY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8015 LIMONITE AVE, RIVERSIDE, CA 92509-6108
(951) 361-0263
Mailing address
8015 LIMONITE AVE, RIVERSIDE, CA 92509-6108
(951) 361-0263
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
30175836
CA
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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