Individual
JAMI WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
12200 W 95TH ST, LENEXA, KS 66215-3806
(913) 894-2093
Mailing address
10675 S LONE ELM RD, OLATHE, KS 66061-9327
(913) 274-0555
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1109808
KS
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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