Individual
JAMES D PELLERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2510 ADAMS AVE, LA GRANDE, OR 97850-3467
(541) 963-9515
Mailing address
67835 SHAW CREEK RD, ELGIN, OR 97827-8336
(541) 437-3963
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8410
OR
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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