Individual ProviderJefferson Froilan BaldovinoPharmacistPharmacy Service ProvidersPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809(707) 423-7656PECOS EnrollmentBased on the most recent information from CMS, provider Jefferson Froilan Baldovino 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 34 days ago.Profile DetailsProvider ID1275193146Provider TypeIndividualFull NameBaldovino, Jefferson FroilanCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date6/13/2019Last Updated3/7/2025Contact InformationPractice LocationPractice Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxMailing LocationMailing Address101 Bodin Cir, Travis Afb, CA 94535-1809Phone(707) 423-7656FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense59684TexasCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicenseRPH83640California