Organization
LODI HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY A AIROLLA (PHARMACIST IN CHARGE)
(209) 333-3060
Entity
Organization
Contact information
Practice address
2415 W VINE ST, LODI, CA 95242-3731
(209) 333-3009
(209) 333-3110
Mailing address
2415 W VINE ST, LODI, CA 95242-3731
(209) 333-3009
(209) 333-3110
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
59860
CA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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