Provider Demographics
NPI:1821320045
Name:ADAMSON, JODI FAYE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:FAYE
Last Name:ADAMSON
Suffix:
Gender:F
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 1:1880 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-5500
Mailing Address - Country:US
Mailing Address - Phone:334-365-9480
Mailing Address - Fax:334-365-2792
Practice Address - Street 1:1880 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PRATTVILLE
Practice Address - State:AL
Practice Address - Zip Code:36066-5500
Practice Address - Country:US
Practice Address - Phone:334-365-9480
Practice Address - Fax:334-365-2792
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL14260183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist