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

Thao MA

Individual provider Pharmacist · NPI 1639042484

Thao MA is a Pharmacist in Lodi, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2449 W Kettleman Ln
Lodi, CA 95242-4124
Phone: (209) 367-7882
Show map & directions

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

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 91546 (CA)

Record details

NPI number1639042484
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2025
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025
Mailing address1537 Sylvan Way, Lodi, CA 95242-4295

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