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Kenneth Wahlstrom, PHARM.D
NPI 1629378609 · on the registry since 2010
Practice
- Address
- 32401 Camino Capistrano
San Juan Capistrano, CA 92675 - Phone
- (949) 661-3492
- Fax
- (949) 661-6205
- Organisation at this address
- Vons Companies Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California