Organization
LIDO PHARMACY LLC
Active
Other names
Pacific LTC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN THOMAS HOM (MANAGING MEMBER)
(760) 217-9250
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD STE 425, NEWPORT BEACH, CA 92663-3525
(949) 524-3566
Mailing address
361 HOSPITAL RD STE 425, NEWPORT BEACH, CA 92663-3525
(949) 524-3566
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
09/26/2017
Last updated
11/20/2024
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