Wade Erickson is a Pharmacist in Wasilla, Alaska. Wade Erickson practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Wade Erickson is 1245278183. The last update date is 2011-10-11.
Wade Erickson's current location address is 3066 E Meridian Park Loop, Wasilla, Alaska. You can contact this provider via phone number 9073579593. The mailing address for Wade Erickson is 3066 E Meridian Park Loop, Wasilla, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wade Erickson |
|---|---|
| Address | 3066 E Meridian Park Loop, Wasilla, Alaska |
| Phone Number | 9073579593 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1245278183 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2011-10-11 |
Provider Mailing Address Detail
| Address | 3066 E Meridian Park Loop |
|---|---|
| City | Wasilla |
| State | Alaska (AK) |
| Post Code | 996547299 |
| Phone Number | 9073579593 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 4593 |
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Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD45932 | AK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wade Erickson?
The Wade Erickson has been issued the NPI (National Provider Identifier) 1245278183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Wade Erickson is located?
The Wade Erickson is situated at the following address: 3066 E Meridian Park Loop, Wasilla, AK, 996547299.
What is Wade Erickson's area of expertise and its corresponding taxonomy classification?
The Wade Erickson's field of specialization is Pharmacist, and it falls under the taxonomy code 183500000X, which categorizes healthcare providers based on their areas of practice.
When did Wade Erickson receive its 1245278183 assignment?
The Wade Erickson was assigned its 1245278183 on 2006-06-03, which is the date when this unique identifier was issued to the organization.
When was the Wade Erickson's information last updated?
The Wade Erickson's information was last updated on 2011-10-11.
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