Ty Lam

NPI #1598048761 in Glendora, New Jersey

Provider Information

NPI Number: 1598048761
Entity Type: Individual
Name: Ty Lam
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Sep 23, 2011
Last Updated: Sep 23, 2011

Practice Location

Address: 1301 BLACK HORSE PIKE
City: Glendora
State: New Jersey
ZIP Code: 08029-1307
Phone: (856) 939-5722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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