Wade, Nathaniel James

Wade, Nathaniel James is an individual health care provider with primary practice located at 156 West Ave Pharmacy Dept, Brockport NY 14420-1229. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wade, Nathaniel James can be contacted via phone (585) 395-6043.

Contact Information

Primary practice address
156 West Ave Pharmacy Dept Brockport NY 14420-1229
Phone: (585) 395-6043
Fax: (585) 395-6022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 054637 New York

Profile Details

NPI number 1952613499
LBN Legal business name Wade, Nathaniel James
Credentials PHARM.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2010
Last updated Jul 13th, 2010 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952613499 NPPES
New York Other 20 054637 STATE LICENSE

Popular Providers