Nancy Logan Wade, BS PHARM Valid NPI
Individual provider · Pharmacist · O Fallon, MO
- NPI
- 1831483957
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 183500000X
- License number
- 040763 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2011-06-06
- Last updated
- 2011-06-06
Practice location
2300 Highway K
O Fallon, MO 63368-6661
(636) 379-1918