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Lido Pharmacy LLC

Pharmacy, Community/Retail Pharmacy in Newport Beach, CA. Organization (NPI-2).

NPI number1164550885
StatusActive
Last updated in NPPESOct 29, 2024

Details

NPI
1164550885
Entity type
Organization (NPI-2)
Legal business name
Lido Pharmacy LLC
Organization subpart
No
Enumeration date
Mar 2, 2007
Certification date
Oct 29, 2024
Last updated
Oct 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes
333600000X Pharmacy––

Other names

  • Newport Lido Pharmacy (Doing Business As)

Practice location

351 Hospital Rd Ste 107
Newport Beach, CA 92663-3503

Phone 949-764-6580 · Fax 949-764-6581

Mailing address

351 Hospital Rd Ste 107
Newport Beach, CA 92663-3503

Phone 949-764-6580 · Fax 949-764-6581

Authorized official

Stephen Thomas Hom
Managing Member
9497646580

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