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Contact Information

JON PELLERIN
621 MONTARA
BARSTOW, CA92311
 Phone: 760-252-5022
 Fax: 760-252-5091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for JON PELLERIN · (Male)

NPI Number 1043629512
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2014
Last updated 08/08/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 31860
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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