Fairmont Pharmacy
Fairmont Pharmacy is a Community/Retail Pharmacy 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
1121 W Vine St Ste 13 Ste 13Lodi, CA 95240-5137
Phone: (209) 625-8633
Fax: (209) 625-8629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY52074 (CA) |
|---|
Record details
| NPI number | 1689063331 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Beatle Tran — Ceo/Pharmacist · (209) 938-9556 |
| NPI enumerated | January 20, 2015 |
| Last updated in NPPES | March 17, 2015 |
| Mailing address | 1121 W Vine St Ste 13, Suite 13, Lodi, CA 95240-5137 |
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Costco Wholesale Corporation
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Fairmont Pharmacy
1121 W Vine St Ste 13, Lodi, CA 95240-5137 · (209) 625-8633
-
Lodi Pharmacy Inc
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