MEDICARE: RTY PHARMACEUTICAL INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PHY53437	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1992769	OTHER		PK

General Provider Information

NPI Number	:	1295890473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RTY PHARMACEUTICAL INC

Provider Business Mailing Address
First Line	:	6465 BALBOA AVE STE 101
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3124
Country	:	US
Telephone Number	:	858-278-0111
Fax Number	:	858-278-2512

Provider Business Practice Location Address
First Line	:	6465 BALBOA AVE STE 101
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3124
Country	:	US
Telephone Number	:	858-278-0111
Fax Number	:	858-278-2512

Authorized Official
Title or Position	:	OWNER
Name	:	ROBERT YASMEH
Credential	:
Telephone Number	:	858-278-0111

Provider Enumeration Date	:	12/27/2006
Last Update Date	:	06/23/2016

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1184556367 — JOYFUL ROOTS DOULAS LLC
Practice Location Address:

6361 LAKE COMO AVE
SAN DIEGO, CA
92119-3124

Practice Phone: 619-339-8556
Practice Fax:

1992100911 — JUSTIN BENTON DAUGHERTY IDC
Practice Location Address:

3124 SALMON ST
SAN DIEGO, CA
92124-3605

Practice Phone: 402-699-7774
Practice Fax:

1144801929 — NIA WONG M.S. LMFT
Practice Location Address:

11202 MONTICOOK CT
SAN DIEGO, CA
92127-3124

Practice Phone: 650-394-6248
Practice Fax:

1922976851 — APRIL ANN BAZZI EUBANKS
Practice Location Address:

6361 LAKE COMO AVE
SAN DIEGO, CA
92119-3124

Practice Phone: 858-414-5274
Practice Fax:

1891795530 — DR. THOMAS HADJIYANE DC
Practice Location Address:

1264 HIGUERA ST , STE. 107-A
SAN LUIS OBISPO, CA
93401-3124

Practice Phone: 805-543-8199
Practice Fax:

Directions to “RTY PHARMACEUTICAL INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.