Rebel Distributors in Thousand Oaks - Non-pharmacy Dispensing Site
Rebel Distributors - NPI 1366657488
Rebel Distributors is a Non-pharmacy Dispensing Site in Thousand Oaks, California. Rebel Distributors practices all healthcare services and medical treatments related to Non-pharmacy Dispensing Site. The NPI Number for Rebel Distributors is 1366657488. The last update date is 2009-02-03.
Rebel Distributors's current location address is 3607 Old Conejo Rd, Thousand Oaks, California. You can contact this provider via phone number 8052140900 and fax number 8052140950. The mailing address for Rebel Distributors is 3607 Old Conejo Rd, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Rebel Distributors |
|---|---|
| Address | 3607 Old Conejo Rd, Thousand Oaks, California |
| Phone Number | 8052140900 |
| Fax Number | 8052140950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO/OWNER |
|---|---|
| Authorized Official Name | Setser Destry |
| Telephone Number | 8777323579 |
NPI Number Detail
| NPI Number | 1366657488 |
|---|---|
| Provider Enumeration Date | 2007-05-11 |
| Last Updated Date | 2009-02-03 |
Provider Mailing Address Detail
| Address | 3607 Old Conejo Rd |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913202123 |
| Phone Number | 8052140900 |
| Fax Number | 8052140950 |
Provider's Primary Taxonomy Detail
| Speciality | Non-pharmacy Dispensing Site |
|---|---|
| Taxonomy | 332900000X |
| Licence No | WLS3004 |
|
Definition: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
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Post Comment/ Review Below
What is the Rebel Distributors's unique identification number?
The Rebel Distributors has been assigned the NPI (National Provider Identifier) Number 1366657488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Rebel Distributors's facilities are geographically located?
The facilities of Rebel Distributors are physically situated at the following location: 3607 Old Conejo Rd, Thousand Oaks, CA, 913202123.
What is Rebel Distributors's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rebel Distributors's specialized field of practice is Non-pharmacy Dispensing Site, and the corresponding taxonomy code that categorizes this area of specialization is 332900000X.
On what date did the Rebel Distributors receive the assignment of its 1366657488 from the Centers for Medicare & Medicaid Services?
The Rebel Distributors was issued its 1366657488 by the Centers for Medicare & Medicaid Services on 2007-05-11.
When was the information regarding Rebel Distributors, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Rebel Distributors, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-03.