Organization · Type 2 NPI

Fairmont Pharmacy

Community/Retail Pharmacy · Lodi, CA

NPI number 1689063331 Active

Practice location

1121 W Vine St Ste 13, Suite 13
Lodi, CA 95240-5137

Fax (209) 625-8629

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XPHY52074 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1689063331

Fairmont Pharmacy's National Provider Identifier is 1689063331, issued on Jan 20, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lodi, CA. The record was last updated on Mar 17, 2015.