Individual
DANIEL WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 373-8488
Mailing address
10330 VANDERGRIFF RD, INDIANAPOLIS, IN 46239-9593
(317) 373-8488
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26029775A
IN
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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