Individual provider · Type 1 NPI

Kenneth Leslie Corum Jr.

Pharmacist · Wildomar, CA

NPI number 1629324181 Active

Practice location

36010 Hidden Springs Rd
Wildomar, CA 92595-7622

Call (951) 678-1755 Map

Fax (951) 678-7677

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X65205 (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 1629324181

Kenneth Leslie Corum Jr.'s National Provider Identifier is 1629324181, issued on Aug 1, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Wildomar, CA. The record was last updated on Aug 1, 2012.