Healthcare Provider Details

I. General information

NPI: 1225140213
Provider Name (Legal Business Name): NEWMAN PIONEER DRUG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 MAIN ST
NEWMAN CA
95360-1324
US

IV. Provider business mailing address

1261 MAIN ST
NEWMAN CA
95360-1324
US

V. Phone/Fax

Practice location:
  • Phone: 209-862-2955
  • Fax: 209-862-3624
Mailing address:
  • Phone: 209-862-2955
  • Fax: 209-862-3624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY46340
License Number StateCA

VIII. Authorized Official

Name: RALPH KLOPPING
Title or Position: OWNER RPH
Credential: RPH
Phone: 209-862-2955