Organization
COREMED PHARMACY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZAMAN KHAN PHARM.D (PHARMACIST IN CHARGE)
(800) 853-0651
Entity
Organization
Contact information
Practice address
911 INDUSTRIAL WAY, SUITE G, LODI, CA 95240-3121
(800) 853-0651
(209) 366-1818
Mailing address
911 INDUSTRIAL WAY, SUITE G, LODI, CA 95240-3121
(800) 853-0651
(209) 366-1818
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50590
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50590
BOARD OF PHARMACY
CA
Enumeration date
04/05/2011
Last updated
03/07/2023
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