Individual
MRS. DEBBIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4441 SIX FORKS RD STE 110, RALEIGH, NC 27609-5729
(919) 787-1155
Mailing address
4441 SIX FORKS RD STE 110, RALEIGH, NC 27609-5729
(919) 787-1155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13113
NC
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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