| NPI | 1164550885 |
|---|---|
| Doing Business As | NEWPORT LIDO PHARMACY |
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS HOM Managing Member 949-764-6580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-10-29 |