Individual
TRISTAN LAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1174 W 600 N, SALT LAKE CITY, UT 84116-2676
(801) 363-1047
Mailing address
PO BOX 711601, SALT LAKE CITY, UT 84171-1601
(801) 674-5457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6182995-1701
UT
Other
Enumeration date
09/27/2019
Last updated
09/27/2019
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