Healthcare Provider Details

I. General information

NPI: 1740140516
Provider Name (Legal Business Name): RNN FOWLER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S 6TH ST STE 102
FOWLER CA
93625-2439
US

IV. Provider business mailing address

119 S 6TH ST STE 102
FOWLER CA
93625-2439
US

V. Phone/Fax

Practice location:
  • Phone: 559-316-7116
  • Fax:
Mailing address:
  • Phone: 559-316-7116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RADHIKABEN PATEL
Title or Position: CEO
Credential:
Phone: 559-316-7116