Organization · Type 2 NPI
Fairmont Pharmacy
Long Term Care Pharmacy · Lodi, CA
NPI number
1104694371
Active
Practice location
1121 W Vine St #13
Lodi, CA 95240
Fax (209) 625-8629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Other long term care pharmacy providers in Lodi
About NPI 1104694371
Fairmont Pharmacy's National Provider Identifier is 1104694371, issued on Dec 18, 2023. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Lodi, CA. The record was last updated on Dec 18, 2023.