Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles Wickersham, PHARMD

Individual provider Pharmacist · NPI 1063772846

Charles Wickersham, PHARMD is a Pharmacist in Modesto, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

2020 Coffee Rd Ste C2
Modesto, CA 95355-2427
Phone: (209) 522-3367
Fax: (209) 522-3375
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 49925 (CA)

Record details

NPI number1063772846
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012
Mailing address2020 Coffee Rd, Suite C2, Modesto, CA 95355-2427

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