Individual
KALVIN NGUYEN LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 NE HANS DR, BLUE SPRINGS, MO 64014-5918
(816) 500-7831
Mailing address
516 NE HANS DR, BLUE SPRINGS, MO 64014-5918
(816) 500-7831
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2021039555
MO
Other
Enumeration date
09/30/2021
Last updated
10/09/2021
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