Healthcare Provider Details
I. General information
NPI: 1013177898
Provider Name (Legal Business Name): RSF PHARMACEUTICALS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2008
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1790 LA COSTA MEADOWS DR STE 103
SAN MARCOS CA
92078-5177
US
IV. Provider business mailing address
1790 LA COSTA MEADOWS DR STE 103
SAN MARCOS CA
92078-5177
US
V. Phone/Fax
- Phone: 866-598-9363
- Fax: 888-676-3671
- Phone: 866-598-9363
- Fax: 888-676-3671
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | 49086 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0004X |
| Taxonomy | Compounding Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASON
KIM
Title or Position: PRESIDENT
Credential: PHRMD
Phone: 858-220-2615