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

Peter Wadea Rostom

Individual provider Pharmacist · NPI 1639820657

Peter Wadea Rostom is a Pharmacist in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
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Practice location Address checks out

3201 Yorba Linda Blvd Apt 153
Fullerton, CA 92831-1762
Phone: (657) 258-6028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH85213 (CA)

Record details

NPI number1639820657
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address3201 Yorba Linda Blvd Apt 153, Fullerton, CA 92831-1762

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