Wade D Shepherd, Pharm.D.
Pharmacist in Columbus, IN. Individual provider (NPI-1).
NPI number1336749688
StatusActive
Last updated in NPPESOct 27, 2020
Details
- NPI
- 1336749688
- Entity type
- Individual (NPI-1)
- Name
- Wade D Shepherd
- Credential
- Pharm.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2020
- Certification date
- Oct 27, 2020
- Last updated
- Oct 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 26024233A | IN | Yes |
Practice location
2715 Merchant MileColumbus, IN 47201-1573
Phone 812-373-9273
Mailing address
621 W Hemphill DrNineveh, IN 46164-8915
Phone 812-350-8168
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