Vibol Mam, RPH

NPI #1154792067 in Lynn, Massachusetts

Provider Information

NPI Number
1154792067
Entity Type
Individual
Name
Vibol Mam, RPH
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Pharmacist
Credential
RPH
Enumeration Date
Oct 19, 2015
Last Updated
Oct 19, 2015

Practice Location

Address
298 UNION ST
City
Lynn
ZIP Code
01901-1342
Phone
(781) 593-4805

Specialties & Taxonomy Codes

Specialty
Pharmacist

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