Provider Demographics
NPI:1790068914
Name:ADAMS, KAREN BRILES (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:BRILES
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 W WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-1908
Mailing Address - Country:US
Mailing Address - Phone:336-291-4012
Mailing Address - Fax:336-291-4033
Practice Address - Street 1:4201 W WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-1908
Practice Address - Country:US
Practice Address - Phone:336-291-4012
Practice Address - Fax:336-291-4033
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10268183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist