# LODI PHARMACY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** LODI PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922810068
- **Authorized official:** MR. PRATAP KRISHNA ANNE (PHARMACY DIRECTOR)
- **Authorized official phone:** (209) 298-1715

## Contact information

- **Practice address:** 412 W LODI AVE, LODI, CA 95240-3423
- **Practice address phone:** (209) 298-1715
- **Practice address fax:** (559) 369-2408
- **Mailing address:** 412 W LODI AVE, LODI, CA 95240-3423
- **Mailing address phone:** (209) 298-1715
- **Mailing address fax:** (559) 369-2408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/24/2025