Provider Demographics
NPI:1942553656
Name:ADELMAN, HAROLD MAITLAND (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:MAITLAND
Last Name:ADELMAN
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 1:1135 LINDERO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-5473
Mailing Address - Country:US
Mailing Address - Phone:818-597-1370
Mailing Address - Fax:818-597-1864
Practice Address - Street 1:1135 LINDERO CANYON RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-5473
Practice Address - Country:US
Practice Address - Phone:818-597-1370
Practice Address - Fax:818-597-1864
Is Sole Proprietor?:No
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA25828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist