CVS

Pharmacist · Lodi, CA

Organization Active NPI

NPI number 1083087761

Practice location

100 W Lodi Ave
Lodi, CA 95240-3517
Phone
(209) 369-3648
Fax
(209) 369-3104

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NPI record

NPI
1083087761
Entity type
Organization (Type 2)
Enumeration date
November 3, 2015
Last updated
November 3, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 40586 CA

Mailing address

11181 Boessow Rd
Galt, CA 95632-8321
Phone
(209) 369-3648
Fax
(209) 369-3104

Authorized official

Name
Mr. Mark Tadao Tamura, PHARMD
Title
Pharmacist
Phone
(209) 712-7055

About CVS

CVS is a healthcare organization registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 100 W Lodi Ave, Lodi, CA 95240-3517. The NPI number 1083087761 was assigned on November 3, 2015 and the record was last updated on November 3, 2015.

CVS lists a license in the registry: #40586 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Mark Tadao Tamura, PHARMD, Pharmacist.

Frequently asked questions

What is the NPI number of CVS?

The NPI number is 1083087761.

What is the phone number of CVS?

The phone number listed for the practice location is (209) 369-3648.

Where is CVS located?

100 W Lodi Ave, Lodi, CA 95240-3517.

What is the taxonomy code for CVS?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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