Healthcare Provider Details

I. General information

NPI: 1831362607
Provider Name (Legal Business Name): RPM PHARMACETICALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2008
Last Update Date: 04/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 W DAKOTA AVE STE 103
CLOVIS CA
93612-5600
US

IV. Provider business mailing address

381 VAN NESS AVE STE 1504
TORRANCE CA
90501-6224
US

V. Phone/Fax

Practice location:
  • Phone: 559-266-7686
  • Fax: 887-206-8330
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number48816
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MIKE PAVLOVICH
Title or Position: PHRMD
Credential: PRESIDENT
Phone: 310-218-4157