Individual
CHERYLL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5013 YADKIN DR, RALEIGH, NC 27609-5118
(919) 608-2885
Mailing address
5013 YADKIN DR, RALEIGH, NC 27609-5118
(919) 608-2885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12866
NC
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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