Provider Demographics
NPI:1598748832
Name:ADAMS, LISA HEMBREE (CERTIFIED PHARMACY T)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:HEMBREE
Last Name:ADAMS
Suffix:
Gender:F
Credentials:CERTIFIED PHARMACY T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 361
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-0361
Mailing Address - Country:US
Mailing Address - Phone:864-834-8327
Mailing Address - Fax:
Practice Address - Street 1:28 S MAIN ST
Practice Address - Street 2:MCLESKEY TODD PHARMACY OF TRAVELERS REST INC
Practice Address - City:TRAVELERS REST
Practice Address - State:SC
Practice Address - Zip Code:29690-1810
Practice Address - Country:US
Practice Address - Phone:864-834-4678
Practice Address - Fax:864-834-4614
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11747183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician