Individual provider · Type 1 NPI

Kenneth Wahlstrom, PharmD

Pharmacist · San Juan Capistrano, CA

NPI number 1629378609 Active

Practice location

32401 Camino Capistrano
San Juan Capistrano, CA 92675-4517

Fax (949) 661-6205

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	RPH51053 (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…

4 other providers at this address

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About NPI 1629378609

Kenneth Wahlstrom, PharmD's National Provider Identifier is 1629378609, issued on Oct 25, 2010. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Jul 23, 2019.