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Individual

TRANG THU LAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
2400 N MAY AVE, OKLAHOMA CITY, OK 73107-2011
(405) 943-9361
(405) 943-9668
Mailing address
5504 NW 107TH ST, OKLAHOMA CITY, OK 73162
(405) 308-3577
(405) 943-9668

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13753
OK
183500000X
Pharmacist
58985
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063427037
OK
Enumeration date
09/16/2011
Last updated
09/16/2011
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