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

Fairmont Pharmacy

Organization Long Term Care Pharmacy · NPI 1104694371

Fairmont Pharmacy is a Long Term Care Pharmacy in Lodi, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1121 W Vine St #13
Lodi, CA 95240
Phone: (209) 625-8633
Fax: (209) 625-8629
Show map & directions

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

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1104694371
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFairmont Pharmacy
Authorized official Beatle Tran — Ceo · (916) 938-9556
Other names Fairmont Pharmacy Ltc
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 16, 2023
Mailing address1121 W Vine St #13, Lodi, CA 95240

Other providers in Lodi