Individual
JODEE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-5227
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-5227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020554A
IN
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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