MEDICINE MADE EASY
5417 Whittier Blvd
Los Angeles, CA 90022
323-722-1010
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | CA | PHY 50169 |
Y | 3336S0011X | Suppliers - Pharmacy | CA | PHY 50169 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA | FW2036348 | OTHER | |
PHA 50169 | CA | MEDICAID | |
OTHER ID NUMBER-COMMERCIAL NUMBER | 0508082 | OTHER | |
STATE PHARMACY LIC | PHY 50169 | CA | OTHER |