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NPI Code Detail

MEDICARE: TUTTLE'S PHARMACY INC

MEDICARE: TUTTLE'S PHARMACY INC
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
1183500000XPharmacistRPH38194CA
2183700000XPharmacy TechnicianTCH53713CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PHY40737OTHERCABOARD OF PHARMACY

General Provider Information

NPI Number : 1932196888
Entity Type Code : Organization
Provider Name (Legal Business Name) : TUTTLE'S PHARMACY INC
Provider Business Mailing Address
First Line : 1220 SONOMA AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-6621
Country : US
Telephone Number : 707-546-9090
Fax Number : 707-528-6576
Provider Business Practice Location Address
First Line : 4731 HOEN AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7862
Country : US
Telephone Number : 707-528-4511
Fax Number : 707-528-6576
Authorized Official
Title or Position : OWNER
Name : ROBERT JOHN PELLEGRINI
Credential : RPH
Telephone Number : 707-546-9090
Provider Enumeration Date : 10/04/2005
Last Update Date : 09/11/2025

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Directions to “TUTTLE'S PHARMACY INC ” Practice Location

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