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NPI Code Detail

MEDICARE: DR. KATHLEEN T WADE RPH, PHARM D, PHC

MEDICARE:  DR. KATHLEEN T WADE  RPH, PHARM D, PHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacistRP00004892NM
21835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist4892NM

General Provider Information

NPI Number : 1801933882
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN T WADE RPH, PHARM D, PHC
Provider Business Mailing Address
First Line : PO BOX 206
Second Line :
City : CEDAR CREST
State : NM
Zip : 87008-0206
Country : US
Telephone Number : 505-281-5720
Fax Number :
Provider Business Practice Location Address
First Line : 8300 CONSTITUTION PL NE RM 1132
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-7637
Country : US
Telephone Number : 505-291-2402
Fax Number : 505-291-2546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 04/11/2008

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Directions to “ DR. KATHLEEN T WADE RPH, PHARM D, PHC” Practice Location

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