Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KENNETH WAHLSTROM, PHARM.D.
ActiveMR. KENNETH WAHLSTROM, PHARM.D. is a Pharmacist healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1629378609 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · SAN JUAN CAPISTRANO, CA
Registration Details
- NPI Number
- 1629378609
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2010 (15.788415310116 yrs)
- Last Updated
- Jul 23, 2019
- License
-
RPH51053 (CA)
Practice Information
- Address
-
32401 CAMINO CAPISTRANOSAN JUAN CAPISTRANO, CA, 926754517Browse CA providers · Browse ZIP 92675
- Phone
- 9496613492
- Fax
- 9496616205
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in SAN JUAN CAPISTRANO, CA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER T MARTUS | — | 1144548488 |
| DILMA ROSARIO HAMMELL | PHARMACIST | 1932427200 |
| DR. PAUL MAUER | PHARM.D. | 1922326099 |
| ERIC K CHIU | RPH | 1720307515 |
| MONGDAO TRAN | RPH | 1114247616 |
| LINH YENSA HUA | PHARMD. | 1558662817 |
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.