Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cvs

Organization Pharmacist · NPI 1083087761

Cvs is a Pharmacist 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
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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