<Unavail>
LBN: Lido Pharmacy Llc
<Unavail> is an health care organization with primary practice located at 351 Hospital Rd Ste 107 , Newport Beach CA 92663-3503. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Lido Pharmacy Llc can be contacted via phone (949) 764-6580, or through Hom, Stephen Thomas via phone (949) 764-6580.
Contact Information
Primary practice address
351 Hospital Rd Ste 107
Newport Beach CA 92663-3503
Phone: (949) 764-6580
Fax: (949) 764-6581
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1164550885 |
|---|---|
| LBN Legal business name | Lido Pharmacy Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Hom, Stephen Thomas PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Oct 29th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164550885 | NPPES |
| California | Other | PHY60035 | BOARD OF PHARMACY |
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