NPI 1003846858
Lodi Memorial Hospital Association INC
Practice location
- Address
- 2415 W Vine St 104b, Lodi, CA 95242-3731
- Phone
- (209) 333-3009
- Fax
- (209) 333-3110
- Mailing address
- 2415 W Vine St 104b, Lodi, CA 95242
Authorised official
- Name
- Gary Airola
- Title
- Pic/Manager
- Phone
- (209) 333-3009
Registered specialties (3)
Community/Retail Pharmacy
Primary
Pharmacy
Clinic Pharmacy
Registry record
- NPI
- 1003846858
- Entity type
- Organization
- NPI issued
- 4 Jul 2006
- Record last updated
- 19 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.