Provider Demographics
NPI:1275898264
Name:MILES, ADELE M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADELE
Middle Name:M
Last Name:MILES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 REDWOOD SHORES PKWY
Mailing Address - Street 2:C/O CASE MANAGEMENT
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1173
Mailing Address - Country:US
Mailing Address - Phone:650-380-2194
Mailing Address - Fax:
Practice Address - Street 1:290 REDWOOD SHORES PKWY
Practice Address - Street 2:C/O CASE MANAGEMENT
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1173
Practice Address - Country:US
Practice Address - Phone:650-380-2194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH234071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist