Organization
LODI PHARMACY INC
Other Names:LODI PHARMACY
NPI Number1003000258
Practice Location
929 S CHEROKEE LN
LODI, CA, 95240-4304
Phone
(209) 365-7766
Fax
(209) 365-7733
Mailing Address
929 S CHEROKEE LN
LODI, CA, 952404304
Phone
(209) 365-7766
Fax
(209) 365-7733
Other Identifiers
2121631
Other (non-Medicare)
Issuer: PK
PHA499020
MEDICAID
State: CA
License Information
License Number
PHY49902
State: CA
Important Dates
Enumeration Date
August 30, 2007
Last Updated
October 20, 2014