LODI MEMORIAL HOSPTIAL PHARMACY WEST NPI 1043633761

NPI Information

LODI MEMORIAL HOSPTIAL PHARMACY WEST is a clinic pharmacy pharmacy in Lodi, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. LODI MEMORIAL HOSPTIAL PHARMACY WEST NPI is 1043633761. The provider is registered as an organization entity type.

The provider's business location address is:

975 S FAIRMONT AVE
2415 W VINE #104
LODI, CA
ZIP 95240-118
Phone: (209) 334-3411
Fax: (209) 333-3110

The provider's authorized official is Mark Sey .
The authorized official title is Chief Admistrative Officer and has the following contact phone number (209) 339-7439.

The enumeration date for this NPI number is 1/31/2014 and was last updated on 1/31/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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