Organization · Type 2 NPI
Gerald J Walde
Community/Retail Pharmacy · Phelan, CA
Practice location
9723 Sierra Vista Rd, Ste E
Phelan, CA 92371-8271
Fax (760) 868-6868
Mailing address
PO Box 1970
Wrightwood, CA 92397-1970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | None listed |
| Community/Retail Pharmacy Primary | 3336C0003X | PHY41829 (CA) |
Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …
2 other providers at this address
Other community/retail pharmacy providers in Phelan
About NPI 1326150244
Gerald J Walde's National Provider Identifier is 1326150244, issued on Aug 31, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Phelan, CA. The record was last updated on Nov 17, 2015.