Individual ProviderDavid LothPharmacistPharmacy Service ProvidersPractice Address1782 W Hammer Ln, Stockton, CA 95209-2922(669) 999-6870PECOS EnrollmentBased on the most recent information from CMS, provider David Loth does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1841572542Provider TypeIndividualFull NameLoth, DavidGenderMaleSole ProprietorYesEnumeration Date9/19/2011Last Updated8/15/2016Contact InformationPractice LocationPractice Address1782 W Hammer Ln, Stockton, CA 95209-2922Phone(669) 999-6870Fax(669) 999-6870Mailing LocationMailing Address1782 W Hammer Ln, Stockton, CA 95209-2922Phone(669) 999-6870Fax(669) 999-6870Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense47203California