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NPI Code Detail

MEDICARE: JONATHAN ESTRELLADO CASTILLO PHARMD

MEDICARE: JONATHAN ESTRELLADO CASTILLO PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist246293AK

General Provider Information

NPI Number : 1013875509
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN ESTRELLADO CASTILLO PHARMD
Provider Business Mailing Address
First Line : 3217 RIDGEMONT CT
Second Line :
City : MODESTO
State : CA
Zip : 95355-8448
Country : US
Telephone Number : 209-551-2973
Fax Number :
Provider Business Practice Location Address
First Line : 8900 OLD SEWARD HWY
Second Line :
City : ANCHORAGE
State : AK
Zip : 99515-2022
Country : US
Telephone Number : 907-344-5300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ JONATHAN ESTRELLADO CASTILLO PHARMD” Practice Location

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