Organization
LODI MEMORIAL HOSPTIAL PHARMACY WEST
Active
Parent organization
LODI MEMORIAL HOSPTIAL ASSOCIATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LODI MEMORIAL HOSPTIAL ASSOCIATION INC
Authorized official
MR. MARK SEY REGISTERED PHAMRACIS (CHIEF ADMISTRATIVE OFFICER)
(209) 339-7439
Entity
Organization
Contact information
Practice address
975 S FAIRMONT AVE, 2415 W VINE #104, LODI, CA 95240-5118
(209) 334-3411
(209) 333-3110
Mailing address
2415 W VILNE #104, LODI, CA 95240-5118
(209) 334-3411
(209) 333-3110
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
HSP37642
CA
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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