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Mr. Kenneth Wahlstrom, PHARMD
Pharmacist in San Juan Capistrano, California
NPI 1629378609

Kenneth Wahlstrom is a Pharmacist based in San Juan Capistrano, CA. Kenneth Wahlstrom practices in San Juan Capistrano, CA and has the professional credentials of PHARMD. The NPI Number for Kenneth Wahlstrom is 1629378609 and holds a License No. RPH51053 (California).

The current practice location address for Kenneth Wahlstrom is 32401 Camino Capistrano, San Juan Capistrano, CA and can be reached out via phone at 949-661-3492 and via fax at 949-661-6205.

Location: 32401 Camino Capistrano, San Juan Capistrano, CA, 92675-4531
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629378609
Provider Name
Kenneth Wahlstrom
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
32401 Camino Capistrano, San Juan Capistrano, CA, 92675-4531
Phone Number
949-661-3492
Fax Number
949-661-6205
Provider Enumeration Date
10/25/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
32401 Camino Capistrano
City
San Juan Capistrano
State
California
Zip
92675-4517
Phone Number
949-661-3492
Fax Number
949-661-6205
person
Provider Business Mailing Address Details
Address
32401 Camino Capistrano
City
San Juan Capistrano
State
California
Zip
92675-4517
Phone Number
949-661-3492
Fax Number
949-661-6205
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
RPH51053 (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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