Provider Demographics
NPI:1396826996
Name:ADAMSON, CHARLES SCOTT (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:SCOTT
Last Name:ADAMSON
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 1:1264 OAK FOREST RD
Mailing Address - Street 2:
Mailing Address - City:BRAVE
Mailing Address - State:PA
Mailing Address - Zip Code:15316-1516
Mailing Address - Country:US
Mailing Address - Phone:724-852-1763
Mailing Address - Fax:
Practice Address - Street 1:595 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-1805
Practice Address - Country:US
Practice Address - Phone:724-627-5454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP040031L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist