Provider Demographics
NPI:1265451488
Name:LACHAPELLE, ADRIAN D (RPH)
Entity Type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:D
Last Name:LACHAPELLE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 PENINSULA FARM RD
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1013
Mailing Address - Country:US
Mailing Address - Phone:410-544-3733
Mailing Address - Fax:410-544-4055
Practice Address - Street 1:269 PENINSULA FARM RD
Practice Address - Street 2:SUITE 1E
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1013
Practice Address - Country:US
Practice Address - Phone:410-544-3733
Practice Address - Fax:410-544-4055
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPO1166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0182490001Medicare ID - Type Unspecified