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NPI Code Detail

MEDICARE: CALUM WINTER NELSON PHARMD, APH, BCPS

MEDICARE: CALUM WINTER NELSON PHARMD, APH, BCPS
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
1183500000XPharmacistRPH82894CA
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistAPH11298CA
31835P1200XPharmacotherapy PharmacistRPH82894CA

General Provider Information

NPI Number : 1326631078
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALUM WINTER NELSON PHARMD, APH, BCPS
Provider Business Mailing Address
First Line : 1225 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1901
Country : US
Telephone Number : 213-977-2121
Fax Number :
Provider Business Practice Location Address
First Line : 1225 WILSHIRE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1901
Country : US
Telephone Number : 213-977-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2021
Last Update Date : 04/19/2026

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