Organization
MEDICINE MADE EASY
Active
Other names
PRIORITY 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
3940 4TH AVE, STE 150, SAN DIEGO, CA 92103-3193
(619) 688-2222
(619) 293-7255
Mailing address
3940 4TH AVE, STE 150, SAN DIEGO, CA 92103-3193
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 50171
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500872
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA 50171
—
CA
01
—
PHY 50171
STATE LICENSE
CA
Enumeration date
05/04/2006
Last updated
03/07/2023
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