Individual
KEY T LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1575 N DYSART RD, AVONDALE, AZ 85392-1204
(623) 925-0851
Mailing address
1575 N DYSART RD, AVONDALE, AZ 85392-1204
(623) 925-0851
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S015601
AZ
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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