Whalio Doctors

NPI 1023394301

Jeff W Wade, PHARMD

Practitioner Pharmacist Broken Arrow, OK

Practice location

Address
950 E Kenosha St, Broken Arrow, OK 74012-2071
Phone
(918) 251-3996
Mailing address
10018 S Yale Ave, Tulsa, OK 74137-6016

Registered specialties

Pharmacist Primary
Pharmacy Service Providers Taxonomy 183500000X Licence 14134 (OK)

Registry record

NPI
1023394301
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2011
Record last updated
2 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.