Individual provider · Type 1 NPI

Philippe Aa Pellerin Jr.

Pharmacist · Fort Wayne, IN

NPI number 1972886687 Active

Practice location

330 W State Blvd
Fort Wayne, IN 46808-3135

Call (260) 482-5428 Map

Fax (260) 484-6355

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26015598A (IN)

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…

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About NPI 1972886687

Philippe Aa Pellerin Jr.'s National Provider Identifier is 1972886687, issued on Sep 20, 2011. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Fort Wayne, IN. The record was last updated on Sep 20, 2011.