Provider Demographics
NPI:1558462788
Name:LAM, ANNIE Y (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ANNIE
Middle Name:Y
Last Name:LAM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8116 SE 77TH PL
Mailing Address - Street 2:
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040-5937
Mailing Address - Country:US
Mailing Address - Phone:206-236-1113
Mailing Address - Fax:
Practice Address - Street 1:803 S LANE ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3044
Practice Address - Country:US
Practice Address - Phone:206-292-5184
Practice Address - Fax:206-292-5271
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00019022183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist