Healthcare Provider Details

I. General information

NPI: 1265504047
Provider Name (Legal Business Name): S O S INTERNATIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2196 SAVIERS RD MISSION VILLAGE SHOPPING CENTER
OXNARD CA
93033
US

IV. Provider business mailing address

2196 SAVIERS RD
OXNARD CA
93033-3825
US

V. Phone/Fax

Practice location:
  • Phone: 805-487-6303
  • Fax: 805-486-4295
Mailing address:
  • Phone: 805-487-6303
  • Fax: 805-486-4295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License NumberPHY41178
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY41178
License Number StateCA

VIII. Authorized Official

Name: RAMESH RAMINANI
Title or Position: OWNER
Credential:
Phone: 805-487-6303