LODI MEMORIAL HOSPITAL ASSOCIATION INC
2415 W Vine St 104b
Lodi, CA 95242
209-333-3009
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
N | 3336C0002X | Suppliers - Pharmacy | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY53672 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2003584 | OTHER | |
PHB367420 | CA | MEDICAID |