Vibol Mam, RPH
Pharmacist in Lynn, Massachusetts
1154792067- Practice location
- 298 Union St, Lynn, MA 01901-1342
- Phone
- 781-593-4805
- Fax
- —
- Last updated
- October 19, 2015
Vibol Mam is a Pharmacist based in Lynn, MA. Vibol Mam practices in Lynn, MA and has the professional credentials of RPH. The NPI Number for Vibol Mam is 1154792067 and holds a License No. PH233262 (MA). The current practice location address for Vibol Mam is 298 Union St, Lynn, MA 01901-1342 and can be reached out via phone at 781-593-4805.
Provider Profile Details
- NPI Number
- 1154792067
- Provider Name
- Vibol Mam
- Credential
- RPH
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 298 Union St, Lynn, MA 01901-1342
- Phone Number
- 781-593-4805
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 19, 2015
- Last Update Date
- October 19, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 298 Union St
Lynn, MA 01901-1342 - City
- Lynn
- State
- Massachusetts
- Zip
- 01901-1342
- Phone Number
- 781-593-4805
Provider Business Mailing Address Details
- Address
- 298 Union St
Lynn, MA 01901-1342 - City
- Lynn
- State
- MA
- Zip
- 01901-1342
- Phone Number
- 781-593-4805
License Information
- License Number
- PH233262
- License State
- MA
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Lynn, MA
View all Pharmacists in Lynn →Frequently Asked Questions
What is the NPI number of Vibol Mam, RPH?
The NPI number of Vibol Mam, RPH is 1154792067. It was assigned on October 19, 2015 and is currently active in the NPPES registry.
What is the specialty of Vibol Mam, RPH?
Vibol Mam, RPH is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH233262.
Where does Vibol Mam, RPH practice?
The practice location is 298 Union St, Lynn, MA 01901-1342. The office can be reached at 781-593-4805 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154792067 directly on the NPPES registry website.