Provider Demographics
NPI:1396923819
Name:LAM, YAM (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:YAM
Middle Name:
Last Name:LAM
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 BAY 40TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4419
Mailing Address - Country:US
Mailing Address - Phone:347-893-4155
Mailing Address - Fax:
Practice Address - Street 1:6914 5TH AVE
Practice Address - Street 2:PHARMACY ON FIFTH, INC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1507
Practice Address - Country:US
Practice Address - Phone:718-238-9600
Practice Address - Fax:718-238-9719
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYI051456-1183500000X
MAPH25521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist