Gerald J Walde
Gerald J Walde is a Pharmacy in Phelan, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
9723 Sierra Vista Rd Ste EPhelan, CA 92371-8271
Phone: (760) 868-6526
Fax: (760) 868-6868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY41829 (CA) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
Record details
| NPI number | 1326150244 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Walde — Pharmacist Owner · (760) 868-6526 |
| Other names | Waldes Desert Pharmacy |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | November 17, 2015 |
| Mailing address | Po Box 1970, Wrightwood, CA 92397-1970 |
Other providers in Phelan
-
D J a M Inc
3936 Phelan Rd Ste A1, Phelan, CA 92371-4142 · (760) 706-0130