Individual
DR. JEFF W WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
950 E KENOSHA ST, BROKEN ARROW, OK 74012-2071
(918) 251-3996
Mailing address
10018 S YALE AVE, TULSA, OK 74137-6016
(918) 298-2467
(918) 298-8541
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14134
OK
Other
Enumeration date
10/31/2011
Last updated
01/02/2023
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