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Fairmont Pharmacy
Community/Retail Pharmacy in Lodi, California
NPI 1689442956

Fairmont Pharmacy is a Community/Retail Pharmacy based in Lodi, CA and is specialized in Community/Retail Pharmacy. Fairmont Pharmacy practices in Lodi, CA. The NPI Number for Fairmont Pharmacy is 1689442956 and holds a License No. (California).

The current practice location address for Fairmont Pharmacy is 1121 W Vine St Ste 13, Lodi, CA and can be reached out via phone at 209-625-8633 and via fax at 209-625-8629.

Location: 1121 W Vine St Ste 13, Lodi, CA, 95240-5137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689442956
Provider Name
Fairmont Pharmacy
Credential
Provider Entity Type
Organization
Address
1121 W Vine St Ste 13, Lodi, CA, 95240-5137
Phone Number
209-625-8633
Fax Number
209-625-8629
Provider Enumeration Date
12/18/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689063331 05 CA
PHY52074 01 CA FACILITY STATE PHARMACY LICENSE - CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
1121 W Vine St Ste 13
City
Lodi
State
California
Zip
95240-5137
Phone Number
209-625-8633
Fax Number
209-625-8629
person
Provider Business Mailing Address Details
Address
1121 W Vine St Ste 13
City
Lodi
State
California
Zip
95240-5137
Phone Number
209-625-8633
Fax Number
209-625-8629
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
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Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
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