Individual
TOAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
6410 W JOHNS XING, JOHNS CREEK, GA 30097-1507
(770) 476-9401
Mailing address
3010 BOLES FARM LN, DULUTH, GA 30096-5440
(770) 633-6208
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RPH026996
GA
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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