MR. Kenneth Wahlstrom, PHARM.D.

NPI #1629378609 in San Juan Capistrano, California

Provider Information

NPI Number
1629378609
Entity Type
Individual
Name
MR. Kenneth Wahlstrom, PHARM.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Credential
PHARM.D.
Enumeration Date
Oct 25, 2010
Last Updated
Jul 23, 2019

Practice Location

Address
32401 CAMINO CAPISTRANO
ZIP Code
92675-4517
Phone
(949) 661-3492

Specialties & Taxonomy Codes

Specialty
Pharmacist

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