Organization
MEDICINE MADE EASY
Active
Other names
WHITTIER GOODRICH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL J. FICHERA (SENIOR VICE PRESIDENT AND TREASURER)
(508) 297-1018
Entity
Organization
Contact information
Practice address
5417 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
(323) 722-1010
(323) 722-8040
Mailing address
5417 WHITTIER BLVD, LOS ANGELES, CA 90022-4101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY 50169
CA
3336S0011X
Specialty Pharmacy
Primary
PHY 50169
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508082
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA 50169
—
CA
01
—
PHY 50169
STATE PHARMACY LIC
CA
Enumeration date
05/01/2006
Last updated
03/07/2023
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