MEDICARE: LOUISA CARROL LANDOLT WAMBOLD PHARMD, RPH, APH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1835P2201X	Ambulatory Care Pharmacist	89863	CA

General Provider Information

NPI Number	:	1285434548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISA CARROL LANDOLT WAMBOLD PHARMD, RPH, APH

Provider Business Mailing Address
First Line	:	450 E ROMIE LN
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4029
Country	:	US
Telephone Number	:	831-257-4774
Fax Number	:	831-753-5117

Provider Business Practice Location Address
First Line	:	515 E ROMIE LN
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93901-4018
Country	:	US
Telephone Number	:	831-257-4774
Fax Number	:	831-753-5117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	03/02/2026

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