Healthcare Provider Details

I. General information

NPI: 1285434548
Provider Name (Legal Business Name): LOUISA CARROL LANDOLT WAMBOLD PHARMD, RPH, APH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LOUISA CARROL LANDOLT PHARMD, RPH

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 E ROMIE LN
SALINAS CA
93901-4018
US

IV. Provider business mailing address

450 E ROMIE LN
SALINAS CA
93901-4029
US

V. Phone/Fax

Practice location:
  • Phone: 831-257-4774
  • Fax: 831-753-5117
Mailing address:
  • Phone: 831-257-4774
  • Fax: 831-753-5117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number89863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: