Individual provider · Type 1 NPI

Charles Wickersham, PHARMD.

Pharmacist · Modesto, CA

NPI number 1063772846 Active

Practice location

2020 Coffee Rd, Suite C2
Modesto, CA 95355-2427

Call (209) 522-3367 Map

Fax (209) 522-3375

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X49925 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1063772846

Charles Wickersham, PHARMD.'s National Provider Identifier is 1063772846, issued on May 25, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Modesto, CA. The record was last updated on May 25, 2012.