IndividualActive
Alex Lam
NPI 1083226732 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Moultrie, GA
Provider details
- NPI number
- 1083226732
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RPH030593 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
2025 1st Ave Se
Moultrie, GA 31788-5155
Phone: (229) 890-2776
Approximate (ZIP-level) locationGet directions
Mailing address
100 Garden Dr Apt B33
Valdosta, GA 31602-5958
Registry dates
- Enumerated
- 2020-08-22
- Last updated
- 2020-08-22
- Certified
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.