Provider Demographics
NPI:1831362607
Name:RPM PHARMACETICALS INC
Entity type:Organization
Organization Name:RPM PHARMACETICALS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHRMD
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAVLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:PRESIDENT
Authorized Official - Phone:310-218-4157
Mailing Address - Street 1:381 VAN NESS AVE
Mailing Address - Street 2:STE 1504
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-6224
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 W DAKOTA AVE
Practice Address - Street 2:STE 103
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-5600
Practice Address - Country:US
Practice Address - Phone:559-266-7686
Practice Address - Fax:887-206-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336M0002X, 3336S0011X
CA488163336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336M0002XSuppliersPharmacyMail Order Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5630012OtherOTHER ID NUMBER