Castillo, Ed

Castillo, Ed is an individual health care provider with primary practice located at 4500 W Shaw Ave , Fresno CA 93722-6200. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Castillo, Ed can be contacted via phone (559) 276-2595.

Contact Information

Primary practice address
4500 W Shaw Ave Fresno CA 93722-6200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 36040 California

Profile Details

NPI number 1013319805
LBN Legal business name Castillo, Ed
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Sep 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013319805 NPPES
California Other 36040 CALIFORNIA BOARD OF PHARMACY

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