# LIDO PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871002485
- **Authorized official:** STEPHEN THOMAS HOM (MANAGING MEMBER)
- **Authorized official phone:** (760) 217-9250

## Contact information

- **Practice address:** 361 HOSPITAL RD STE 425, NEWPORT BEACH, CA 92663-3525
- **Practice address phone:** (949) 524-3566
- **Mailing address:** 361 HOSPITAL RD STE 425, NEWPORT BEACH, CA 92663-3525
- **Mailing address phone:** (949) 524-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2017
- **Last updated:** 11/20/2024