Provider Demographics
NPI:1710464607
Name:LCD INC
Entity Type:Organization
Organization Name:LCD INC
Other - Org Name:LCD PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-485-0908
Mailing Address - Street 1:10572 CALLE LEE STE 138
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-8541
Mailing Address - Country:US
Mailing Address - Phone:714-485-0908
Mailing Address - Fax:714-485-0663
Practice Address - Street 1:10572 CALLE LEE STE 138
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-8541
Practice Address - Country:US
Practice Address - Phone:714-485-0908
Practice Address - Fax:714-485-0663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-24
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58088OtherBOARD OF PHARMACY