Organization · Type 2 NPI

Wade J Dahlberg SR

Long Term Care Pharmacy · Newbury Park, CA

NPI number 1649576364 Active

Practice location

2697 Lavery Ct Ste 7
Newbury Park, CA 91320-1587

Fax (805) 499-0199

Specialties and licenses

TaxonomyCodeLicense
Institutional Pharmacy 3336I0012XNone listed
Long Term Care Pharmacy Primary 3336L0003XPHY50393 (CA)

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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About NPI 1649576364

Wade J Dahlberg SR's National Provider Identifier is 1649576364, issued on Jan 27, 2011. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Newbury Park, CA. The record was last updated on Feb 7, 2011.