Most Relevant Information
Provider Data
| NPI Number: | 1003239260 |
| Provider Name: | FELISHA WADE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PS37003 |
Most Important Dates
| Enumeration Date: | 01/23/2014 |
| Last Updated: | 01/23/2014 |
Provider Practice Location
4051 EAGLE LANDING PKWY
ORANGE PARK
FL
320652559
Practice Location Phone/Fax
| Phone: | 9045794799 |
| Fax: |
Provider Mailing Location
4051 EAGLE LANDING PKWY
ORANGE PARK
FL
320652559
Provider Mailing Phone/Fax
| Phone: | 9045794799 |
| Fax: |