Fairmont Pharmacy
Community/Retail Pharmacy
1121 W Vine St Ste 13, Lodi
California, 95240-5137
209-625-8633 209-625-8629
Fairmont Pharmacy is a Community/Retail Pharmacy in Lodi, California. This organization is also known as sub part of Fairmont Pharmacy. It is located at 1121 W Vine St Ste 13, Lodi and it's customer support contact number is 209-625-8633. The authorized person of Fairmont Pharmacy is Beatle Thien-phuoc Tran, PHARMD who is Ceo/pharmd of the pharmacy and his contact number is 209-938-9556.
Fairmont Pharmacy is 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.
Pharmacy Details:
Fairmont Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Fairmont Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 1121 W Vine St Ste 13, Lodi,
California, 95240-5137 |
| Phone: | 209-625-8633 |
| Fax: | 209-625-8629 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Beatle Thien-phuoc Tran |
| Credentials: | PHARMD |
| Position: | Ceo/pharmd |
| Contact Number: | 209-938-9556 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689442956 |
| Parent Organization: | Fairmont Pharmacy |
| NPI Enumeration Date: | 18 Dec, 2023 |
| NPI Last Update On: | 18 Dec, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fairmont Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1689063331 | Medicaid | California | |
| PHY52074 | Other | California | Facility State Pharmacy License - California |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1121 W Vine St Ste 13,
Lodi, California |
| Zip: | 95240-5137 |
| Phone Number: | 209-938-9556 |
Patients can reach Fairmont Pharmacy at
1121 W Vine St Ste 13, Lodi, California or can
call on customer care at 209-625-8633.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.