Pidgeon, Kevin Anthony

Pidgeon, Kevin Anthony is an individual health care provider with primary practice located at 800 Magnolia Ave Suite 116, Corona CA 92879-3123. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Pidgeon, Kevin Anthony can be contacted via phone (951) 737-3511.

Contact Information

Primary practice address
800 Magnolia Ave Suite 116 Corona CA 92879-3123
Phone: (951) 737-3511
Fax: (951) 737-2148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 36706 California

Profile Details

NPI number 1902900277
LBN Legal business name Pidgeon, Kevin Anthony
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Mar 10th, 2008 - about 16 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 1902900277 NPPES
Other 0553506 NABP
MEDICAID PHA445220 NABP

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