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

Mr. Kenneth Wahlstrom, PHARMD

Individual provider Pharmacist · NPI 1629378609

Mr. Kenneth Wahlstrom, PHARMD is a Pharmacist in San Juan Capistrano, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

32401 Camino Capistrano
San Juan Capistrano, CA 92675-4517
Phone: (949) 661-3492
Fax: (949) 661-6205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH51053 (CA)

Record details

NPI number1629378609
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 25, 2010
Last updated in NPPESJuly 23, 2019

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