Healthcare Provider Details

I. General information

NPI: 1427854769
Provider Name (Legal Business Name): RS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24990 ALESSANDRO BLVD STE J
MORENO VALLEY CA
92553-3915
US

IV. Provider business mailing address

24990 ALESSANDRO BLVD STE J
MORENO VALLEY CA
92553-3915
US

V. Phone/Fax

Practice location:
  • Phone: 909-973-6747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: CHANDRASEKHAR EADARA
Title or Position: CFO/SECRETARY/DIRECTOR
Credential:
Phone: 361-813-4639