Provider Demographics
NPI:1467722256
Name:PRICE, ADAM ERIC (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:ERIC
Last Name:PRICE
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 1:2323 HIGHWAY 3 S
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55057-5172
Mailing Address - Country:US
Mailing Address - Phone:515-770-5429
Mailing Address - Fax:507-403-4004
Practice Address - Street 1:2323 HIGHWAY 3 S
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-5172
Practice Address - Country:US
Practice Address - Phone:515-770-5429
Practice Address - Fax:507-403-4004
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291467183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN120721OtherSTATE OF MINNESOTA