Healthcare Provider Details
I. General information
NPI: 1245454446
Provider Name (Legal Business Name): ROBERT MANUEL NAVARRO PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/12/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
720 N VENTURA RD
OXNARD CA
93030-4413
US
IV. Provider business mailing address
2600 NORTHBROOK DR
OXNARD CA
93036-1581
US
V. Phone/Fax
- Phone: 805-983-1097
- Fax: 805-983-7402
- Phone: 805-988-1570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 183500000X |
| Taxonomy | Pharmacist |
| License Number | RPH 46752 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: