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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES WICKERSHAM, PHARMD.

Active

CHARLES WICKERSHAM, PHARMD. is a Pharmacist healthcare provider located in MODESTO, California. NPI 1063772846 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · MODESTO, CA

Registration Details

NPI Number
1063772846
Provider Type
Individual
Gender
Male
NPI Issued
May 25, 2012 (14.243904211763 yrs)
Last Updated
May 25, 2012
License
49925 (CA)

Practice Information

Address
2020 COFFEE RD
SUITE C2
MODESTO, CA, 953552427
Browse CA providers · Browse ZIP 95355
Phone
2095223367
Fax
2095223375
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in MODESTO, CA

Name Credential NPI
DR. ERIN MICHELLE CABELERA PHARM.D., RPH 1740284090
DANNY VERA PHARM.D. 1205811726
GLENN MASUI 1366427080
NY MIM PHARM D 1689651309
CHI TONG 1851378574
YUTHANA HAM PHARM D 1386605814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.