Organization
PHARMEDIX INC
Active
Other names
California Health Mart Pharmacy & Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
BISI ALAGBE (PRESIDENT)
(626) 792-3156
Entity
Organization
Contact information
Practice address
555 S LAKE AVE, PASADENA, CA 91101-3511
(626) 792-3156
(626) 792-8556
Mailing address
555 S LAKE AVE, PASADENA, CA 91101-3511
(626) 792-3156
(626) 792-8556
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY46502
CA
332BC3200X
Customized Equipment (DME)
PHY46502
CA
332BD1200X
Dialysis Equipment & Supplies (DME)
PHY46502
CA
332BN1400X
Nursing Facility Supplies (DME)
PHY46502
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PHY46502
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
PHY46502
CA
3336C0003X
Community/Retail Pharmacy
PHY46502
CA
3336S0011X
Specialty Pharmacy
Primary
PHY46502
CA
Other
Enumeration date
06/06/2006
Last updated
09/11/2025
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