Individual ProviderAndrew Jeremy DornPharmacistPharmacy Service ProvidersPractice Address2901 Ming Ave, Bakersfield, CA 93304-4144(661) 617-2001PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Jeremy Dorn 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 2 days ago.Profile DetailsProvider ID1861787160Provider TypeIndividualFull NameDorn, Andrew JeremyTitleDr.CredentialPHARMDGenderMaleSole ProprietorYesEnumeration Date6/14/2011Last Updated6/14/2011Contact InformationPractice LocationPractice Address2901 Ming Ave, Bakersfield, CA 93304-4144Phone(661) 617-2001Fax(661) 617-2002Mailing LocationMailing Address2901 Ming Ave, Bakersfield, CA 93304-4144Phone(661) 617-2001Fax(661) 617-2002Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense64337California