Lodi Health Pharmacy West
LBN: Lodi Memorial Hospital Association Inc
Lodi Health Pharmacy West is an health care organization with primary practice located at 2415 W Vine St 104B, Lodi CA 95242-3731. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lodi Memorial Hospital Association Inc can be contacted via phone (209) 333-3009, or through Airola, Gary via phone (209) 333-3009.
Contact Information
Primary practice address
2415 W Vine St 104B
Lodi CA 95242-3731
Phone: (209) 333-3009
Fax: (209) 333-3110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY53672 | California |
Profile Details
| NPI number | 1003846858 |
|---|---|
| LBN Legal business name | Lodi Memorial Hospital Association Inc |
| DBA Doing business as | Lodi Health Pharmacy West |
| Authorized official | Airola, Gary BS |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Jul 19th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003846858 | NPPES |
| Other | 2003584 | PK | |
| MEDICAID | PHB367420 | PK |
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