Gerald J Walde in Phelan - Community/retail Pharmacy
Gerald J Walde - NPI 1326150244
Gerald J Walde is a Community/retail Pharmacy in Phelan, California. Gerald J Walde practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Gerald J Walde is 1326150244. The last update date is 2015-11-17.
Gerald J Walde's current location address is 9723 Sierra Vista Rd, Phelan, California. You can contact this provider via phone number 7608686526 and fax number 7608686868. The mailing address for Gerald J Walde is 9723 Sierra Vista Rd, Phelan, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gerald J Walde |
|---|---|
| Address | 9723 Sierra Vista Rd, Phelan, California |
| Phone Number | 7608686526 |
| Fax Number | 7608686868 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Walde Jerry |
| Credentials | PHARMD |
| Telephone Number | 7608686526 |
NPI Number Detail
| NPI Number | 1326150244 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 9723 Sierra Vista Rd |
|---|---|
| City | Phelan |
| State | California (CA) |
| Post Code | 923718271 |
| Phone Number | 7608686526 |
| Fax Number | 7608686868 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | PHY41829 |
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Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2005485 | PK | ||
| PHA418290 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Gerald J Walde by the Centers for Medicare & Medicaid Services (CMS)?
The Gerald J Walde has been assigned the NPI (National Provider Identifier) 1326150244. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Gerald J Walde's physical address?
The Gerald J Walde is physically located at 9723 Sierra Vista Rd, in the city of Phelan, CA, with the postal code 923718271.
What is Gerald J Walde's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gerald J Walde is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.
When did Gerald J Walde receive its 1326150244 assignment?
The Gerald J Walde was assigned its 1326150244 on 2006-08-31, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Gerald J Walde, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gerald J Walde, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-17.