Gerald J Walde
NPI #1326150244 in Phelan, California
Provider Information
- NPI Number
- 1326150244
- Entity Type
- Organization
- Organization Name
- Gerald J Walde
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Nov 17, 2015
Practice Location
- Address
- 9723 SIERRA VISTA RD
- Address 2
- STE E
- City
- Phelan
- State
- California
- ZIP Code
- 92371-8271
- Phone
- (760) 868-6526
Authorized Official
- Name
- JERRY WALDE, PHARMD
- Title
- PHARMACIST OWNER
- Phone
- (760) 868-6526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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