Organization
EMJ PHARMACY CORPORATION
Active
Other names
Sea View Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MEDLEY (CEO)
(949) 496-0123
Entity
Organization
Contact information
Practice address
665 CAMINO DE LOS MARES STE 101, SAN CLEMENTE, CA 92673-2840
(949) 496-0123
(949) 496-0489
Mailing address
665 CAMINO DE LOS MARES STE 101, SAN CLEMENTE, CA 92673-2840
(949) 496-0123
(949) 496-0489
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY56131
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177385
PK
—
05
—
PHY39198
—
CA
Enumeration date
10/04/2006
Last updated
06/06/2018
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