Vibol Mam, RPH - Pharmacist in Lynn, MA

Vibol Mam, RPH is a Pharmacist based in Lynn, Massachusetts. Vibol Mam is licensed to practice in Massachusetts (license number PH233262) and his current practice location is 298 Union St, Lynn, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (781) 593-4805.

NPI number for Vibol Mam is 1154792067 and his current mailing address is 298 Union St, Lynn, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154792067.

Contact Information

Vibol Mam, RPH
298 Union St,
Lynn, MA 01901-1342
(781) 593-4805
Not Available

Healthcare Provider's Profile

Full NameVibol Mam
GenderMale
SpecialityPharmacist
Location298 Union St, Lynn, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154792067
  • Provider Enumeration Date: 10/19/2015
  • Last Update Date: 10/19/2015

Medical Identifiers

Medical identifiers for Vibol Mam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154792067NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PH233262 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Vibol Mam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Vibol Mam, RPH
298 Union St,
Lynn, MA 01901-1342

Ph: (781) 593-4805
Vibol Mam, RPH
298 Union St,
Lynn, MA 01901-1342

Ph: (781) 593-4805

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› Verified 6 days ago


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