Provider Demographics
NPI:1710166814
Name:LAM, RITA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:
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 1:1001 POTRERO AVE
Mailing Address - Street 2:SAN FRANCISCO GENERAL HOSPITAL PHARMACY RM 1P-2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-2327
Mailing Address - Fax:415-206-2338
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:SAN FRANCISCO GENERAL HOSPITAL PHARMACY RM 1P-2
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-2327
Practice Address - Fax:415-206-2338
Is Sole Proprietor?:No
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48703183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist