Individual
WADE D SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2715 MERCHANT MILE, COLUMBUS, IN 47201-1573
(812) 373-9273
Mailing address
621 W HEMPHILL DR, NINEVEH, IN 46164-8915
(812) 350-8168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26024233A
IN
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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