Jon Pellerin

Pharmacist · Barstow, CA

Individual Active NPI

NPI number 1043629512

Practice location

621 Montara
Barstow, CA 92311
Phone
(760) 252-5022
Fax
(760) 252-5091

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NPI record

NPI
1043629512
Entity type
Individual (Type 1)
Enumeration date
August 8, 2014
Last updated
August 8, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 31860 CA

Mailing address

621 Montara Rd
Barstow, CA 92311-5737
Phone
(760) 252-5022
Fax
(760) 252-5091

About Jon Pellerin

Jon Pellerin is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 621 Montara, Barstow, CA 92311. The NPI number 1043629512 was assigned on August 8, 2014 and the record was last updated on August 8, 2014.

Jon Pellerin lists a license in the registry: #31860 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Pellerin?

The NPI number is 1043629512.

What is the phone number of Jon Pellerin?

The phone number listed for the practice location is (760) 252-5022.

Where is Jon Pellerin located?

621 Montara, Barstow, CA 92311.

What is the taxonomy code for Jon Pellerin?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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