Cvs

NPI #1083087761 in Lodi, California

Provider Information

NPI Number: 1083087761
Entity Type: Organization
Organization Name: Cvs
Primary Specialty: Pharmacist
Enumeration Date: Nov 3, 2015
Last Updated: Nov 3, 2015

Practice Location

Address: 100 W LODI AVE
City: Lodi
State: California
ZIP Code: 95240-3517
Phone: (209) 369-3648

Authorized Official

Name: MR. MARK TADAO TAMURA, PHARMD
Title: PHARMACIST
Phone: (209) 712-7055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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