Lodi Pharmacy

LBN: Lodi Pharmacy Inc
Lodi Pharmacy is an health care organization with primary practice located at 929 S Cherokee Ln , Lodi CA 95240-4304. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Lodi Pharmacy Inc can be contacted via phone (209) 365-7766, or through Samra, Jaspal via phone (209) 365-7788.

Contact Information

Primary practice address
929 S Cherokee Ln Lodi CA 95240-4304
Phone: (209) 365-7766
Fax: (209) 365-7733
Website:
Map and Directions
Authorized official contact:
Name: Samra, Jaspal
Phone: (209) 365-7788

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49902 California

Profile Details

NPI number 1003000258
LBN Legal business name Lodi Pharmacy Inc
DBA Doing business as Lodi Pharmacy
Authorized official Samra, Jaspal
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2007
Last updated Oct 20th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003000258 NPPES
Other 2121631 PK
MEDICAID PHA499020 PK

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