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

Lodi Memorial Hosptial Pharmacy West

Organization Clinic Pharmacy · NPI 1043633761

Lodi Memorial Hosptial Pharmacy West is a Clinic Pharmacy in Lodi, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

975 S Fairmont Ave 2415 W Vine #104
Lodi, CA 95240-5118
Phone: (209) 334-3411
Fax: (209) 333-3110
Show map & directions

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

Specialties & licences

Clinic Pharmacy (primary) Taxonomy 3336C0002X · Licence HSP37642 (CA)

Record details

NPI number1043633761
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLodi Memorial Hosptial Association Inc
Authorized official Mark Sey — Chief Admistrative Officer · (209) 339-7439
NPI enumeratedJanuary 31, 2014
Last updated in NPPESJanuary 31, 2014
Mailing address2415 W Vilne #104, Lodi, CA 95240-5118