MEDICARE: WAHLE PHARMACY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0003X	Community/Retail Pharmacy
2	3336C0004X	Compounding Pharmacy
3	333600000X	Pharmacy

General Provider Information

NPI Number	:	1225963614
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAHLE PHARMACY

Provider Business Mailing Address
First Line	:	27111 ALISO CREEK RD STE 150
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3367
Country	:	US
Telephone Number	:	949-605-5667
Fax Number	:

Provider Business Practice Location Address
First Line	:	27111 ALISO CREEK RD STE 150
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-3367
Country	:	US
Telephone Number	:	949-605-5667
Fax Number	:

Authorized Official
Title or Position	:	PIC
Name	:	DR. AUSTIN LEE WAHLE
Credential	:	PHARMD
Telephone Number	:	949-605-5667

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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Directions to “WAHLE PHARMACY ” Practice Location

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