Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WADE LEE ANDERSON, RPH
Active Sole ProprietorMR. WADE LEE ANDERSON, RPH is a Pharmacist healthcare provider located in DEERFIELD, Wisconsin. NPI 1093992703 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · DEERFIELD, WI
Registration Details
- NPI Number
- 1093992703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2008 (18.518145039302 yrs)
- Last Updated
- Jan 24, 2008
- License
-
12604 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
50 N MAIN STDEERFIELD, WI, 535319453Browse WI providers · Browse ZIP 53531
- Phone
- 6087648111
- Fax
- 6087645556
- Primary Specialty
-
Pharmacist
183500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.