# LIFEMED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifemed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609230994
- **Authorized official:** MR. JOHN FRIESEN (CEO)
- **Authorized official phone:** (530) 246-1075

## Contact information

- **Practice address:** 2025 COURT ST STE E, REDDING, CA 96001-1805
- **Practice address phone:** (530) 241-3550
- **Practice address fax:** (530) 241-3605
- **Mailing address:** PO BOX 993668, REDDING, CA 96099-3668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2016
- **Last updated:** 01/20/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1609230994 | — | CA |
| 01 | — | 5659733 | NCPDP | — |
| 01 | — | PHY54477 | CA BOP | CA |