National Provider Identifier
Nathaniel James Wade, PHARM.D
Nathaniel James Wade, PHARM.D is listed in the NPPES registry with a primary specialty of Pharmacist in Brockport, NY and a listed phone number of (585) 395-6043.
Profile Overview
- NPI
- 1952613499
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 13, 2010
- Last Updated
- July 13, 2010
Practice Location
- 156 West Ave
- Pharmacy Dept
- Brockport, NY 14420-1229
Phone: (585) 395-6043
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1952613499
- Entity Type
- Individual
- Last Name
- Wade
- First Name
- Nathaniel
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- PHARM.D
- Mailing Street Address
- 156 West Ave
- Mailing Address Line 2
- Pharmacy Dept
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1229
- Mailing Country
- US
- Mailing Phone
- (585) 395-6043
- Mailing Fax
- (585) 395-6022
- Practice Street Address
- 156 West Ave
- Practice Address Line 2
- Pharmacy Dept
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1229
- Practice Country
- US
- Practice Phone
- (585) 395-6043
- Practice Fax
- (585) 395-6022
- Enumeration Date
- July 13, 2010
- Last Updated
- July 13, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 20 054637 (NY, State License)