Individual ProviderFernando EstradaPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-3000PECOS EnrollmentBased on the most recent information from CMS, provider Fernando Estrada does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:10 AM.Profile DetailsProvider ID1013503176Provider TypeIndividualFull NameEstrada, FernandoTitleDr.CredentialPHARMD, BCPS, BCIDPGenderMaleSole ProprietorNoEnumeration Date12/14/2020Last Updated11/1/2021Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-3000FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRPH-0014916OregonCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicenseRP00009189New Mexico