| NPI | 1932114535 |
|---|---|
| Doing Business As | VIA LIDO DRUGS |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLAN OLSEN Vice President 949-715-9041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA 56189) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-04-12 |