NPI 1043633761
Lodi Memorial Hosptial Pharmacy West
Practice location
- Address
- 975 S Fairmont Ave 2415 W Vine #104, Lodi, CA 95240-5118
- Phone
- (209) 334-3411
- Fax
- (209) 333-3110
- Mailing address
- 2415 W Vilne #104, Lodi, CA 95240-5118
Authorised official
- Name
- Mark Sey
- Title
- Chief Admistrative Officer
- Phone
- (209) 339-7439
Registered specialties
Clinic Pharmacy
Primary
Registry record
- NPI
- 1043633761
- Entity type
- Organization
- NPI issued
- 31 Jan 2014
- Record last updated
- 31 Jan 2014
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.