Organization
LEO SALUTEM INC
Active
Other names
LYONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J LYONS PHARM.D (PRESIDENT)
(619) 407-5555
Entity
Organization
Contact information
Practice address
4575 CAMINO DE LA PLZ STE 106, SAN YSIDRO, CA 92173-3157
(619) 407-5555
(619) 407-6718
Mailing address
4575 CAMINO DE LA PLZ STE 106, SAN YSIDRO, CA 92173-3157
(619) 407-5555
(619) 407-6718
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902442387
—
CA
Enumeration date
11/20/2019
Last updated
09/16/2025
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