Provider Demographics
NPI:1033490719
Name:MILLS, ADAM TODD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:TODD
Last Name:MILLS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 BARRETT PARK DR NW STE 101
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-7080
Mailing Address - Country:US
Mailing Address - Phone:678-797-9067
Mailing Address - Fax:678-797-9066
Practice Address - Street 1:2105 BARRETT PARK DR NW STE 101
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-7080
Practice Address - Country:US
Practice Address - Phone:678-797-9067
Practice Address - Fax:678-797-9066
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024958183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARPH024958OtherPHARMACIST LICENSE