| NPI | 1003846858 |
|---|---|
| Doing Business As | LODI HEALTH PHARMACY WEST |
| Entity Type | Organization |
| Authorized Contact | GARY AIROLA PIC/Manager 209-333-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY53672) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336C0002X Pharmacy, Clinic Pharmacy | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2018-07-19 |