Provider Demographics
NPI:1114249489
Name:MCELROY, ADAM N (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:N
Last Name:MCELROY
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 1:52247 ZEP RD W
Mailing Address - Street 2:
Mailing Address - City:PLEASANT CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43772-9634
Mailing Address - Country:US
Mailing Address - Phone:614-832-8621
Mailing Address - Fax:
Practice Address - Street 1:61690 SOUTHGATE RD
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9114
Practice Address - Country:US
Practice Address - Phone:740-432-7154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03127255183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist