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General NPI Number Information
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NPI Number | 1932196888
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Entity Type | Organization
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Legal Business Name | TUTTLE'S PHARMACY INC
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4731 HOEN AVE
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City | SANTA ROSA
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State | CA
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Zip | 95405-7862
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Country | US
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Telephone | 707-528-4511
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Fax | 707-528-6576
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Provider Business Mailing Address
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Address Line | 1220 SONOMA AVE
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City | SANTA ROSA
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State | CA
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Zip | 95405-6621
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Country | US
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Telephone | 707-546-9090
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Fax | 707-528-6576
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT JOHN PELLEGRINI
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Credential | RPH
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Telephone | 707-546-9090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH38194
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | TCH53713
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License Number State | CA
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