Organization
MEDLEY PHARMCO, INC
Active
Other names
Seaview Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD G MEDLEY (PRESIDENT)
(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
332B00000X
Durable Medical Equipment & Medical Supplies
PHA39198
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHA39198
CA
3336C0004X
Compounding Pharmacy
PHA39198
CA
Other
Enumeration date
09/18/2007
Last updated
05/20/2009
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