Individual provider · Type 1 NPI

Jeremiah Caleb Hutauruk, RPH

Pharmacist · Montclair, CA

NPI number 1104765551 Active

Practice location

4535 Holt Blvd
Montclair, CA 91763-4710

Fax (909) 624-4177

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	92092 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

3 other providers at this address

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About NPI 1104765551

Jeremiah Caleb Hutauruk, RPH's National Provider Identifier is 1104765551, issued on Mar 27, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Montclair, CA. The record was last updated on Mar 27, 2026.