Lodi Drug Company, Inc

NPI 1285619460 - Pharmacist - 183500000X

NPI Details
NPI 1285619460
Enumeration Date 12/11/2005
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name NICK NICK
Position OWNER
Phone (209) 368-6636
Fax
Practice Location
115 LAKEWOOD MALL
LODI CA, 95242-2963, US
Phone (209) 368-6636
Fax
Business Location
115 LAKEWOOD MALL
LODI CA, 95242-2963, US
Phone (209) 368-6636
Fax
Toxanomy
Taxonomy Code 183500000X
License State California
License Number PHY20652
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According to our database, Lodi Drug Company, Inc NPI is 1285619460, taxonomy code is 183500000X and license number is PHY20652, license state is located at California. Lodi Drug Company, Inc physically located at 115 Lakewood Mall, Lodi CA, 95242-2963. NPI Number 1033115704 has the healthcare provider type.

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1285619460 NPI number is provided on an as is basis without warranty of any kind. 1285619460 is maintained by the National Plan & Provider Enumeration System. The contents of Lodi Drug Company, Inc are for informational purposes only.