Individual
CARMEN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
7707 E CENTRAL AVE, WICHITA, KS 67206-2100
(316) 651-2703
Mailing address
7707 E CENTRAL AVE, WICHITA, KS 67206-2100
(316) 651-2703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
11538
KS
Other
Enumeration date
07/11/2014
Last updated
07/11/2014
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