Organization
PHIEU LAM
Active
Other names
LOTUS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PHIEU LAM (OWNER)
(916) 422-5675
Entity
Organization
Contact information
Practice address
6540 STOCKTON BLVD, STE 3B, SACRAMENTO, CA 95823-1635
(916) 422-5675
(916) 422-9864
Mailing address
6540 STOCKTON BLVD, STE 3B, SACRAMENTO, CA 95823-1635
(916) 422-5675
(916) 422-9864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0548808
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA421890
—
CA
Enumeration date
08/10/2006
Last updated
07/02/2009
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