Healthcare Provider Details

I. General information

NPI: 1083729453
Provider Name (Legal Business Name): RSA HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 01/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 S C ST
OXNARD CA
93033-7502
US

IV. Provider business mailing address

5020 S C ST
OXNARD CA
93033-7502
US

V. Phone/Fax

Practice location:
  • Phone: 805-240-9962
  • Fax: 805-486-2733
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY49140
License Number StateCA

VIII. Authorized Official

Name: ROBERT ANDONIAN
Title or Position: CEO
Credential: PHARM D
Phone: 805-240-9962