THAO MA

NPI: 1639042484 · Individual · Active

Primary Specialty

Pharmacist

Practice Location

2449 W KETTLEMAN LN
LODI, CA 95242-4124 Map ↗
Phone: 209-367-7882

All Specialties & Licenses

  • Pharmacist Primary (license: 91546, CA)

NPI Registration

Enumerated: 2025-09-27

Last CMS Update: 2025-09-27