FAIRMONT PHARMACY

LODI, CA
NPI1689063331
Entity TypeOrganization
Authorized ContactBEATLE THIENPHUOC TRAN
CEO/Pharmacist
209-938-9556
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA  PHY52074)
Enumeration Date2015-01-20
Last Update Date2015-03-17
Business Address
FAIRMONT PHARMACY
1121 W VINE ST STE 13 SUITE 13
LODI, CA 95240-5137
Phone number: 209-625-8633
Mailing Address
FAIRMONT PHARMACY
1121 W VINE ST STE 13 SUITE 13
LODI, CA 95240-5137
Phone number: 209-625-8633