| Organization Name: | LISA FAMILY PHARMACY INC |
| NPI Number: | 1801966890 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA S HOHENTHANER (PRESIDENT/PIC) |
| Mailing Address: | 14137 Lakeridge Ct. Magalia |
| State: | CA US |
| Postal Code: | 959540970 |
| Phone Number: | 5308730460 |
| Fax Number: | 5308730703 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 10/16/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 333600000X |
| License Number: | PHY 51582 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Pharmacy |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |