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Wade J Dahlberg Sr
Long Term Care Pharmacy in Newbury Park, California
NPI 1649576364

Wade J Dahlberg Sr is a Long Term Care Pharmacy based in Newbury Park, CA and is specialized in Long Term Care Pharmacy. Wade J Dahlberg Sr practices in Newbury Park, CA. The NPI Number for Wade J Dahlberg Sr is 1649576364 and holds a License No. (California).

The current practice location address for Wade J Dahlberg Sr is 2697 Lavery Ct Ste 7, Newbury Park, CA and can be reached out via phone at 805-499-0100 and via fax at 805-499-0199.

Location: 2697 Lavery Ct Ste 7, Newbury Park, CA, 91320-1587
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649576364
Provider Name
Wade J Dahlberg Sr
Credential
Provider Entity Type
Organization
Address
2697 Lavery Ct Ste 7, Newbury Park, CA, 91320-1587
Phone Number
805-499-0100
Fax Number
805-499-0199
Provider Enumeration Date
01/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5640087 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
2697 Lavery Ct Ste 7
City
Newbury Park
State
California
Zip
91320-1587
Phone Number
805-499-0100
Fax Number
805-499-0199
person
Provider Business Mailing Address Details
Address
2697 Lavery Ct Ste 7
City
Newbury Park
State
California
Zip
91320-1587
Phone Number
805-499-0100
Fax Number
805-499-0199
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Institutional Pharmacy
Taxonomy
3336I0012X
License No.
PHY50393 (California)
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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