Most Relevant Information
Provider Data
| NPI Number: | 1003573080 |
| Provider Name: | JODEE WADE PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 26020554A |
Most Important Dates
| Enumeration Date: | 11/24/2021 |
| Last Updated: | 11/24/2021 |
Provider Practice Location
1185 N 1000 W
LINTON
IN
474415282
Practice Location Phone/Fax
| Phone: | 8128475227 |
| Fax: |
Provider Mailing Location
1185 N 1000 W
LINTON
IN
474415282
Provider Mailing Phone/Fax
| Phone: | 8128475227 |
| Fax: |