Provider Demographics
NPI:1083870810
Name:LAM, YOO JUNG (PHARMD)
Entity Type:Individual
Prefix:
First Name:YOO JUNG
Middle Name:
Last Name:LAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:YOO JUNG
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:95 WALL ST
Mailing Address - Street 2:DUANE READE
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-4201
Mailing Address - Country:US
Mailing Address - Phone:212-363-5830
Mailing Address - Fax:212-269-9441
Practice Address - Street 1:95 WALL ST
Practice Address - Street 2:DUANE READE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-4201
Practice Address - Country:US
Practice Address - Phone:212-363-5830
Practice Address - Fax:212-269-9441
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0526381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist