Individual
ANTHONY EDWARD PEDALINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
7373 WEST LN, RM 2L03 - CLINICAL OPERATIONS PHARMACY, STOCKTON, CA 95210-3377
(760) 702-1775
(209) 455-3062
Mailing address
7373 WEST LN, RM 2L03 - CLINICAL OPERATIONS PHARMACY, STOCKTON, CA 95210-3377
(760) 702-1775
(209) 455-3062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
66342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66342
CALIFORNIA BOARD OF PHARMACY -- REGISTERED PHARMACIST
CA
Enumeration date
11/29/2011
Last updated
11/29/2011
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