Individual
AMY LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 S PROVIDENCE ST, MOUNTAIN HOUSE, CA 95391-1011
(209) 985-4134
Mailing address
396 S PROVIDENCE ST, MOUNTAIN HOUSE, CA 95391-1011
(209) 985-4134
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
87654
CA
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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