KENNETH WAHLSTROM

SAN JUAN CAPISTRANO, CA
NPI1629378609
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: CA  RPH51053)
Enumeration Date2010-10-25
Last Update Date2019-07-23
Business Address
Mr. KENNETH WAHLSTROM Pharm.D.
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675-4517
Phone number: 949-661-3492
Mailing Address
Mr. KENNETH WAHLSTROM Pharm.D.
32401 CAMINO CAPISTRANO
SAN JUAN CAPISTRANO, CA 92675-4531
Phone number: 949-661-3492