Provider Demographics
NPI:1144404146
Name:ADAMS, DAVID J (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:ADAMS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3953 LOCKPORT OLCOTT RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-1132
Mailing Address - Country:US
Mailing Address - Phone:716-433-6061
Mailing Address - Fax:716-433-1789
Practice Address - Street 1:3953 LOCKPORT OLCOTT RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-1132
Practice Address - Country:US
Practice Address - Phone:716-433-6061
Practice Address - Fax:716-433-1789
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050422-01183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist