Organization Name: | RHEEM SPECIALTY PHARMACY, LLC |
NPI Number: | 1679914014 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFF MORGRIDGE (OWNER/ MANAGING PARTNER) |
Mailing Address: | 346 Rheem Blvd Ste 109 Moraga |
State: | CA US |
Postal Code: | 945561511 |
Phone Number: | 8774047112 |
Fax Number: | 9253880741 |
NPI Enumeration Date: | 07/15/2013 |
NPI Last Update Date: | 07/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 51285 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |