Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Philippe AA Pellerin Jr.

Individual provider Pharmacist · NPI 1972886687

Philippe AA Pellerin Jr. is a Pharmacist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

330 W State Blvd
Fort Wayne, IN 46808-3135
Phone: (260) 482-5428
Fax: (260) 484-6355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 26015598A (IN)

Record details

NPI number1972886687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2011
Last updated in NPPESSeptember 20, 2011
Mailing address330 W State Blvd, Fort Wayne, IN 46808-3135

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