Organization
LIFEMED, INC.
Active
Other names
Lifemed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN FRIESEN (CEO)
(530) 246-1075
Entity
Organization
Contact information
Practice address
2025 COURT ST STE E, REDDING, CA 96001-1805
(530) 241-3550
(530) 241-3605
Mailing address
PO BOX 993668, REDDING, CA 96099-3668
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609230994
—
CA
01
—
5659733
NCPDP
—
01
—
PHY54477
CA BOP
CA
Enumeration date
04/12/2016
Last updated
01/20/2023
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