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Organization
LODI DRUG COMPANY, INC
Active
Organization
LODI DRUG COMPANY, INC
Active
Other names
Lakewood Drugs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICK SPANOS JR. R.PH. (OWNER)
(209) 339-8624
Entity
Organization
Contact information
Practice address
115 LAKEWOOD MALL, LODI, CA 95242-2963
(209) 368-6636
Mailing address
115 LAKEWOOD MALL, LODI, CA 95242-2963
(209) 368-6636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY20652
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA206520
—
CA
Enumeration date
12/11/2005
Last updated
08/22/2020
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