Provider Demographics
NPI:1518246982
Name:EPSTEIN, ADAM S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:EPSTEIN
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 1:15123 N IVORY DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:FOUNTAIN HILLS
Mailing Address - State:AZ
Mailing Address - Zip Code:85268-2553
Mailing Address - Country:US
Mailing Address - Phone:480-695-8078
Mailing Address - Fax:
Practice Address - Street 1:1630 W GUADALUPE RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-2928
Practice Address - Country:US
Practice Address - Phone:480-507-2135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS018710183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist