# PREVENTATIVERX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578843397
- **Authorized official:** STEVE SCHROEDER (CEO)
- **Authorized official phone:** (310) 722-9733

## Contact information

- **Practice address:** 24882 SEA AIRE, DANA POINT, CA 92629-1848
- **Practice address phone:** (949) 322-1509
- **Practice address fax:** (949) 661-1901
- **Mailing address:** 24882 SEA AIRE, DANA POINT, CA 92629-1848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | CA | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 08/24/2011