Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Cvs

Organization Pharmacist · NPI 1083087761

Cvs provides Pharmacist services in Lodi, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

100 W Lodi Ave
Lodi, CA 95240-3517 Not confirmed with CMS for 10 years — call before visiting
Phone: (209) 369-3648
Fax: (209) 369-3104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 40586 (CA)

Record details

NPI number1083087761
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Tamura — Pharmacist · (209) 712-7055
NPI enumeratedNovember 3, 2015
Last updated in NPPESNovember 3, 2015
Mailing address11181 Boessow Rd, Galt, CA 95632-8321

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