Provider Demographics
NPI:1033412044
Name:LAMB, KEVIN ALLAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALLAN
Last Name:LAMB
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 ASHLAND ST
Mailing Address - Street 2:PO BOX 778
Mailing Address - City:NORTH ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01247-4510
Mailing Address - Country:US
Mailing Address - Phone:413-663-3711
Mailing Address - Fax:413-664-9730
Practice Address - Street 1:51 ASHLAND ST
Practice Address - Street 2:
Practice Address - City:NORTH ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01247-4510
Practice Address - Country:US
Practice Address - Phone:413-663-3711
Practice Address - Fax:413-664-9730
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist