Organization
WADE J DAHLBERG SR
Active
Other names
West Coast Pharmaceutical Services
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DAHLBERG (OPERATION MGT)
(702) 373-9215
Entity
Organization
Contact information
Practice address
2697 LAVERY CT STE 7, NEWBURY PARK, CA 91320-1587
(805) 499-0100
(805) 499-0199
Mailing address
2697 LAVERY CT STE 7, NEWBURY PARK, CA 91320-1587
(805) 499-0100
(805) 499-0199
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY50393
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5640087
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/27/2011
Last updated
02/07/2011
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