1487737532 MARK E WANDEL
Community/Retail Pharmacy
Active
Basic Information
- Organization Name
- MARK E WANDEL
- Enumeration Date
- October 23, 2006
- Last Update
- September 21, 2009
- Authorized Official
- MARK WANDEL
OWNER
Phone: (909) 866-5881
Practice Location
- Address
- 42002 FOX FARM RD
SUITE 103
BIG BEAR LAKE, CA 92315 - Phone
- (909) 866-5881
- Fax
- (909) 866-8510
Mailing Address
- Address
- PO BOX 1549
BIG BEAR LAKE, CA 923151549 - Phone
- (909) 866-5881
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Durable Medical Equipment & Medical Supplies | N/A | N/A | No |
| Pharmacy | 333600000X | Pharmacy | N/A | N/A | No |
| Compounding Pharmacy Compounding Pharmacy | 3336C0004X | Pharmacy | N/A | N/A | No |
| Community/Retail Pharmacy Community/Retail Pharmacy | 3336C0003X | Pharmacy | PHY44374 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA443740 | 05 | CA | N/A |
| 0557073 | 01 | N/A | NCPDP PROVIDER IDENTIFICATION NUMBER |
Frequently Asked Questions
What is MARK E WANDEL's NPI number?
MARK E WANDEL's NPI number is 1487737532.
Which doctor has NPI number 1487737532?
The doctor with NPI number 1487737532 is MARK E WANDEL.
What is MARK E WANDEL's practice address?
MARK E WANDEL's practice address is 42002 FOX FARM RD, SUITE 103, BIG BEAR LAKE, CA, 92315.
Which doctor practices at 42002 FOX FARM RD, SUITE 103, BIG BEAR LAKE, CA, 92315?
MARK E WANDEL practices at 42002 FOX FARM RD, SUITE 103, BIG BEAR LAKE, CA, 92315.
What is MARK E WANDEL's mailing address?
MARK E WANDEL's mailing address is PO BOX 1549, BIG BEAR LAKE, CA, 923151549.
What is MARK E WANDEL's phone number?
MARK E WANDEL's phone number is (909) 866-5881.
Who is (909) 866-5881?
(909) 866-5881 is the phone number for MARK E WANDEL.
What is MARK E WANDEL's specialty?
MARK E WANDEL's specialty is Community/Retail Pharmacy.
What type of doctor is MARK E WANDEL?
MARK E WANDEL is a Community/Retail Pharmacy.
Is MARK E WANDEL a Community/Retail Pharmacy?
Yes, MARK E WANDEL is a Community/Retail Pharmacy.
Is MARK E WANDEL still practicing?
Yes, MARK E WANDEL is currently practicing.
Is MARK E WANDEL accepting new patients?
MARK E WANDEL may be accepting new patients. Please call their office at (909) 866-5881 to inquire about availability.
Is NPI 1487737532 still active?
Yes, NPI 1487737532 is currently active.
Where does MARK E WANDEL practice?
MARK E WANDEL practices in BIG BEAR LAKE, CA.