Individual
SANDY LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4548 CENTERPLACE DR, GREELEY, CO 80634-3747
(970) 330-9962
(970) 330-9967
Mailing address
4548 CENTERPLACE DR, GREELEY, CO 80634-3747
(970) 330-9962
(970) 330-9967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16410
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16410
STATE LICENSE
CO
Enumeration date
10/10/2014
Last updated
10/10/2014
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