Mr Kenneth Wahlstrom, PHARMD - Pharmacist in San Juan Capistrano, CA

Mr Kenneth Wahlstrom, PHARMD is a Pharmacist based in San Juan Capistrano, California. Mr Kenneth Wahlstrom is licensed to practice in California (license number RPH51053) and his current practice location is 32401 Camino Capistrano, San Juan Capistrano, California. He can be reached at his office (for appointments etc.) via phone at (949) 661-3492.

NPI number for Mr Kenneth Wahlstrom is 1629378609 and his current mailing address is 32401 Camino Capistrano, San Juan Capistrano, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629378609.

Contact Information

Mr Kenneth Wahlstrom, PHARMD
32401 Camino Capistrano,
San Juan Capistrano, CA 92675-4517
(949) 661-3492
(949) 661-6205

Healthcare Provider's Profile

Full NameMr Kenneth Wahlstrom
GenderMale
SpecialityPharmacist
Location32401 Camino Capistrano, San Juan Capistrano, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629378609
  • Provider Enumeration Date: 10/25/2010
  • Last Update Date: 07/23/2019

Medical Identifiers

Medical identifiers for Mr Kenneth Wahlstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629378609NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist RPH51053 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth Wahlstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth Wahlstrom, PHARMD
32401 Camino Capistrano,
San Juan Capistrano, CA 92675-4531

Ph: (949) 661-3492
Mr Kenneth Wahlstrom, PHARMD
32401 Camino Capistrano,
San Juan Capistrano, CA 92675-4517

Ph: (949) 661-3492

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› Verified 2 days ago


Pharmacist in San Juan Capistrano, CA

Susan Lott,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 33961 Doheny Park Rd, San Juan Capistrano, CA 92675
Phone: 949-240-9573    
Linda Marie Felgar-schultz, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 33961 Doheny Park Rd, San Juan Capistrano, CA 92675
Phone: 949-240-9573    
Whitney Horvath,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 31874 Del Obispo St, San Juan Capistrano, CA 92675
Phone: 949-226-5643    
Mongdao Tran, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 32121 Camino Capistrano, San Juan Capistrano, CA 92675
Phone: 949-493-2178    Fax: 949-493-9679
Christopher T Martus,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 32121 Camino Capistrano, San Juan Capistrano, CA 92675
Phone: 949-493-2178    
Hashem Amr Fathalla, RPH
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 31874 Del Obispo St, San Juan Capistrano, CA 92675
Phone: 949-226-5643    
Dr. Kimberley Adler, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 33842 Montanas Del Mar, San Juan Capistrano, CA 92675
Phone: 949-481-2423    

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