Lodi Pharmacy INC
Pharmacy, Community/Retail Pharmacy in Lodi, CA. Organization (NPI-2).
NPI number1003000258
StatusActive
Last updated in NPPESOct 20, 2014
Details
- NPI
- 1003000258
- Entity type
- Organization (NPI-2)
- Legal business name
- Lodi Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Aug 30, 2007
- Last updated
- Oct 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY49902 | CA | Yes |
Other names
- Lodi Pharmacy (Doing Business As)
Practice location
929 S Cherokee LnLodi, CA 95240-4304
Phone 209-365-7766 · Fax 209-365-7733
Mailing address
929 S Cherokee LnLodi, CA 95240-4304
Phone 209-365-7766 · Fax 209-365-7733
Authorized official
Jaspal Samra
Director
2093657788
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All 9 Community/Retail Pharmacy providers in Lodi · All 1,321 providers in Lodi
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