Mark E Wandel
NPI #1487737532 in Big Bear Lake, California
Provider Information
- NPI Number
- 1487737532
- Entity Type
- Organization
- Organization Name
- Mark E Wandel
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Sep 21, 2009
Practice Location
- Address
- 42002 FOX FARM RD
- Address 2
- SUITE 103
- City
- Big Bear Lake
- State
- California
- ZIP Code
- 92315
- Phone
- (909) 866-5881
Authorized Official
- Name
- MARK WANDEL
- Title
- OWNER
- Phone
- (909) 866-5881
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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