Organization · Type 2 NPI

CVS

Pharmacist · Lodi, CA

NPI number 1083087761 Active

Practice location

100 W Lodi Ave
Lodi, CA 95240-3517

Fax (209) 369-3104

Mailing address

11181 Boessow Rd
Galt, CA 95632-8321

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X40586 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

5 other providers at this address

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About NPI 1083087761

CVS's National Provider Identifier is 1083087761, issued on Nov 3, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Lodi, CA. The record was last updated on Nov 3, 2015.