Lisa Family Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Magalia, CA
NPI 1801966890 · NPPES record last updated Oct 16, 2013
Key facts
- NPI
- 1801966890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY 51582 (CA)
- Legal business name
- LISA FAMILY PHARMACY INC
- Practice address
- 14137 Lakeridge CT.
Magalia, CA 95954-0970 - Phone
- (530) 873-0460
- Fax
- (530) 873-0703
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Lisa S Hohenthaner, PHARM D
- Title
- President/Pic
- Phone
- (530) 873-0460
Practitioners 1
-
Rodney C Clay, PHARM. DR.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | PHY 51582 | CA | |
| Community/Retail Pharmacy | 3336C0003X | PHY 51582 | CA | Yes |
Addresses
Primary practice location
14137 Lakeridge CT.
Magalia, CA 95954-0970
Mailing address
P.O. Box 970
Magalia, CA 95954-0970
Phone (530) 873-0460
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0553962 | Other | CA | NCPDP |
| PHY 51582 | Other | CA | CALIFORNIA STATE BOARD OF PHARMACY PERMIT |
| 1801966890 | Other | CA | MEDI-CAL PROVIDER |
Other names
- LISA FAMILY PHARMACY
Other providers in Magalia, CA
- Hopewell
- Brian Kim Hunter
- Pamela Shannon Larimer
- Thomas Mark Lee
- Lijun Sakal, MD
- Lisa Family Pharmacy Inc
- Carole Ann Liu
- Gary Lloyd McArthur
- Carlene Adele Moore
- Nor-Cal Transport Group LLC
All providers in Magalia, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.