Provider Demographics
NPI:1326346040
Name:EDIGIN, LAMBERT UYI (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:LAMBERT
Middle Name:UYI
Last Name:EDIGIN
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:753 GREEN TREE CIR APT 101
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3775
Mailing Address - Country:US
Mailing Address - Phone:678-907-3572
Mailing Address - Fax:
Practice Address - Street 1:1031 ARMORY DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1851
Practice Address - Country:US
Practice Address - Phone:757-516-6608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202210190183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist