Via Lido Drugs

LBN: Via Lido Drug Corporation
Via Lido Drugs is an health care organization with primary practice located at 3445 Via Lido , Newport Beach CA 92663-3908. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Via Lido Drug Corporation can be contacted via phone (949) 723-8921, or through Olsen, David Allan via phone (949) 715-9041.

Contact Information

Primary practice address
3445 Via Lido Newport Beach CA 92663-3908
Phone: (949) 723-8921
Fax: (949) 723-8929
Website:
Map and Directions
Authorized official contact:
Name: Olsen, David Allan
Phone: (949) 715-9041

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 56189 California

Profile Details

NPI number 1932114535
LBN Legal business name Via Lido Drug Corporation
DBA Doing business as Via Lido Drugs
Authorized official Olsen, David Allan
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 12th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932114535 NPPES
California MEDICAID PHA40860
California Other 1995453

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