Individual
MR. CASEY AARON WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
612 W STOCKTON ST, EDMONTON, KY 42129-9458
(270) 432-2725
Mailing address
612 W STOCKTON ST, EDMONTON, KY 42129-9458
(270) 432-2725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P02468
KY
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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