Provider Demographics
NPI:1477942464
Name:METCALF, ADAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:
Last Name:METCALF
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 RANCH ROAD 620 S
Mailing Address - Street 2:A1
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6300
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1310 RANCH ROAD 620 S
Practice Address - Street 2:A1
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6300
Practice Address - Country:US
Practice Address - Phone:512-351-9139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX519681835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy