Provider Demographics
NPI:1336743855
Name:ADAMS, ADRIAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:
Last Name:ADAMS
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 1:2531 HILLCREST WAY
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35005-3012
Mailing Address - Country:US
Mailing Address - Phone:205-249-8609
Mailing Address - Fax:
Practice Address - Street 1:101 N AIRPORT RD
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35504-7530
Practice Address - Country:US
Practice Address - Phone:205-387-0572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13828183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist