Mr Wade Lee Anderson, RPH is a
Pharmacist based in Deerfield, Wisconsin. Mr Wade Lee Anderson is licensed to practice in Wisconsin (license number 12604) and his current practice location is
50 N Main St, Deerfield, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 764-8111.
NPI number for Mr Wade Lee Anderson is 1093992703 and his current mailing address is 50 N Main St, Po Box 51, Deerfield, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093992703.
Healthcare Provider's Profile
| Full Name | Mr Wade Lee Anderson |
|---|
| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 50 N Main St, Deerfield, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093992703
- Provider Enumeration Date: 01/24/2008
- Last Update Date: 01/24/2008
Medical Identifiers
Medical identifiers for Mr Wade Lee Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093992703 | NPI | - | NPPES |
| 33274500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 12604 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Wade Lee Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Wade Lee Anderson, RPH
50 N Main St, Po Box 51,
Deerfield, WI 53531-9453
Ph: (608) 764-8111 | Mr Wade Lee Anderson, RPH
50 N Main St,
Deerfield, WI 53531-9453
Ph: (608) 764-8111 |
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