Provider Demographics
NPI:1871820787
Name:LAM, TRUNG HIEU (RPH)
Entity Type:Individual
Prefix:
First Name:TRUNG
Middle Name:HIEU
Last Name:LAM
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 S MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-3401
Mailing Address - Country:US
Mailing Address - Phone:972-333-7950
Mailing Address - Fax:
Practice Address - Street 1:103 S MURPHY RD
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-3401
Practice Address - Country:US
Practice Address - Phone:972-333-7950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38790183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist