Organization · Type 2 NPI

Lodi Memorial Hosptial Pharmacy West

Clinic Pharmacy · Lodi, CA

NPI number 1043633761 Active

Practice location

975 S Fairmont Ave, 2415 W Vine #104
Lodi, CA 95240-5118

Call (209) 334-3411 Map

Fax (209) 333-3110

Mailing address

2415 W Vilne #104
Lodi, CA 95240-5118

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002XHSP37642 (CA)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

77 other providers at this address

About NPI 1043633761

Lodi Memorial Hosptial Pharmacy West's National Provider Identifier is 1043633761, issued on Jan 31, 2014. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Lodi, CA. The record was last updated on Jan 31, 2014.