Provider Demographics
NPI:1801183017
Name:HARTMAN, ADAM H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:H
Last Name:HARTMAN
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 1:51 SOUTHLAND DR STE 2100
Mailing Address - Street 2:WHITE HALL PHARMACY
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-2244
Mailing Address - Country:US
Mailing Address - Phone:304-368-9355
Mailing Address - Fax:
Practice Address - Street 1:51 SOUTHLAND DR STE 2100
Practice Address - Street 2:WHITE HALL PHARMACY
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-2244
Practice Address - Country:US
Practice Address - Phone:304-368-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV7653183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist