Individual
SHERRY NICOLE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 GREENE RD, MORRISTOWN, TN 37814-6248
(423) 581-7970
Mailing address
1540 GREENE RD, MORRISTOWN, TN 37814-6248
(423) 581-7970
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
17911
TN
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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