Healthcare Provider Details

I. General information

NPI: 1780766568
Provider Name (Legal Business Name): NRM HOLDINGS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 08/07/2023
Certification Date: 08/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W MANCHESTER AVE
LOS ANGELES CA
90044-5770
US

IV. Provider business mailing address

600 W MANCHESTER AVE
LOS ANGELES CA
90044-5770
US

V. Phone/Fax

Practice location:
  • Phone: 323-750-3523
  • Fax: 323-750-1589
Mailing address:
  • Phone: 323-750-3523
  • Fax: 323-750-1589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY48242
License Number StateCA

VIII. Authorized Official

Name: JANICE COOPER
Title or Position: PIC/OWNER
Credential: PHARMD
Phone: 323-750-3523