Organization
LODI PHARMACY INC
Active
Other names
LODI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JASPAL SAMRA (DIRECTOR)
(209) 365-7788
Entity
Organization
Contact information
Practice address
929 S CHEROKEE LN, LODI, CA 95240-4304
(209) 365-7766
(209) 365-7733
Mailing address
929 S CHEROKEE LN, LODI, CA 95240-4304
(209) 365-7766
(209) 365-7733
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY49902
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2121631
PK
—
05
—
PHA499020
—
CA
Enumeration date
08/30/2007
Last updated
10/20/2014
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