Provider Demographics
NPI:1932196888
Name:TUTTLE'S PHARMACY INC
Entity Type:Organization
Organization Name:TUTTLE'S PHARMACY INC
Other - Org Name:TUTTLE'S HOEN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:PELLEGRINI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:707-546-9090
Mailing Address - Street 1:1220 SONOMA AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-6621
Mailing Address - Country:US
Mailing Address - Phone:707-546-9090
Mailing Address - Fax:707-528-6576
Practice Address - Street 1:4731 HOEN AVE
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95405-7862
Practice Address - Country:US
Practice Address - Phone:707-528-4511
Practice Address - Fax:707-528-6576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38194183500000X
CATCH53713183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty
Not Answered183700000XPharmacy Service ProvidersPharmacy TechnicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY40737OtherBOARD OF PHARMACY
CAPHY40737OtherBOARD OF PHARMACY