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LEO SALUTEM INC NPI 1902442387


NPI Information

NPI: 1902442387
Provider Name: LEO SALUTEM INC

Doing Business As: LYONS PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D2212022

Address:
642 PALOMAR ST STE 410
CHULA VISTA, CA
ZIP 91911
Phone: (619) 407-5555
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LEO SALUTEM INC is a community/retail pharmacy pharmacy in Chula Vista, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. LEO SALUTEM INC NPI is 1902442387. The provider is registered as an organization entity type.
The provider Is Doing Business As Lyons Pharmacy.

The provider's business location address is:

642 PALOMAR ST STE 410
CHULA VISTA, CA
ZIP 91911-629
Phone: (619) 407-5555
Fax: (619) 407-6718

The provider's authorized official is Daniel J Lyons .
The authorized official title is President/pharmacist and has the following contact phone number (619) 407-5555.

The CLIA number assigned to this NPI record is 05D2212022 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2019 and was last updated on 7/8/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11902442387MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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