Lee, Jerry Wade

Lee, Jerry Wade is an individual health care provider with primary practice located at 1950 Aspen , Lubbock TX 79403. He recently has only one registered license in Pharmacy Service Providers / Psychiatric, which is considered as his primary health care specialty. Lee, Jerry Wade can be contacted via phone (806) 766-0268.

Contact Information

Primary practice address
1950 Aspen Lubbock TX 79403
Phone: (806) 766-0268
Fax: (806) 767-1640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 36271 Texas

Profile Details

NPI number 1336341254
LBN Legal business name Lee, Jerry Wade
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336341254 NPPES
Texas Other 36271 LICENSE

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