Organization
LOTUS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIEU LAM (PHARMACIST)
(916) 422-5675
Entity
Organization
Contact information
Practice address
6540 STOCKTON BLVD #3B, SACRAMENTO, CA 95823-1635
(916) 422-5675
Mailing address
6540 STOCKTON BLVD #3B, SACRAMENTO, CA 95823-1635
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY42189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA421890
—
CA
Enumeration date
09/09/2008
Last updated
09/09/2008
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