Healthcare Provider Details

I. General information

NPI: 1184992000
Provider Name (Legal Business Name): ROBERT JOSEPH PIGEON PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 BEACH BLVD
STANTON CA
90680-3611
US

IV. Provider business mailing address

20131 N NEW BRITAIN LN
HUNTINGTON BEACH CA
92646-8533
US

V. Phone/Fax

Practice location:
  • Phone: 714-890-9063
  • Fax:
Mailing address:
  • Phone: 714-350-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH42629
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: