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Charles Wickersham, PHARMD
Pharmacist in Modesto, California
NPI 1063772846

Charles Wickersham is a Pharmacist based in Modesto, CA. Charles Wickersham practices in Modesto, CA and has the professional credentials of PHARMD. The NPI Number for Charles Wickersham is 1063772846 and holds a License No. 49925 (California).

The current practice location address for Charles Wickersham is 2020 Coffee Rd, Modesto, CA and can be reached out via phone at 209-522-3367 and via fax at 209-522-3375.

Location: 2020 Coffee Rd, Modesto, CA, 95355-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063772846
Provider Name
Charles Wickersham
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
2020 Coffee Rd, Modesto, CA, 95355-2427
Phone Number
209-522-3367
Fax Number
209-522-3375
Provider Enumeration Date
05/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 Coffee Rd
City
Modesto
State
California
Zip
95355-2427
Phone Number
209-522-3367
Fax Number
209-522-3375
person
Provider Business Mailing Address Details
Address
2020 Coffee Rd
City
Modesto
State
California
Zip
95355-2427
Phone Number
209-522-3367
Fax Number
209-522-3375
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
49925 (California)
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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