Whalio Doctors

NPI 1003846858

Lodi Memorial Hospital Association INC

Organisation Community/Retail Pharmacy Lodi, CA

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
Suppliers Taxonomy 3336C0003X Licence PHY53672 (CA)
Pharmacy
Suppliers Taxonomy 333600000X
Clinic Pharmacy
Suppliers Taxonomy 3336C0002X

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.