NPI | 1164550885 |
---|---|
Doing Business As | NEWPORT LIDO PHARMACY |
Entity Type | Organization |
Authorized Contact | STEPHEN HOM Director Of Pharmacy 949-764-6580 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY49987) |
Additional Taxonomies | 333600000X Pharmacy |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-05-27 |