Provider Demographics
NPI:1821409749
Name:HURLEY, ADAM ROBERT (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:ROBERT
Last Name:HURLEY
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 1:2811 LONDON GROVEPORT RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-9035
Mailing Address - Country:US
Mailing Address - Phone:614-801-4310
Mailing Address - Fax:614-801-4365
Practice Address - Street 1:2811 LONDON GROVEPORT RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-9035
Practice Address - Country:US
Practice Address - Phone:614-801-4310
Practice Address - Fax:614-801-4365
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03328789183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH03328789OtherNCPDP, 3676763