Individual
AMY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20505 SHERMAN WAY, CANOGA PARK, CA 91306-3427
(818) 719-6599
Mailing address
20505 SHERMAN WAY, CANOGA PARK, CA 91306-3427
(818) 961-4078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH79866
CA
Other
Enumeration date
04/09/2019
Last updated
12/23/2019
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