Provider Demographics
NPI:1285175794
Name:WILHELMI, ALAN F
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:F
Last Name:WILHELMI
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:N/A
Other - Middle Name:N/A
Other - Last Name:N/A
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:116 CRESTMOOR CIR
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1514
Mailing Address - Country:US
Mailing Address - Phone:650-218-1241
Mailing Address - Fax:
Practice Address - Street 1:116 CRESTMOOR CIR
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-1514
Practice Address - Country:US
Practice Address - Phone:650-218-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41997183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist