Provider Demographics
NPI:1982868741
Name:ADAMS, ROD (RPH)
Entity Type:Individual
Prefix:
First Name:ROD
Middle Name:
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 E COLFAX AVE
Mailing Address - Street 2:STE 102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2238
Mailing Address - Country:US
Mailing Address - Phone:303-863-7644
Mailing Address - Fax:303-863-7656
Practice Address - Street 1:1245 E COLFAX AVE
Practice Address - Street 2:STE 102
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2238
Practice Address - Country:US
Practice Address - Phone:303-863-7644
Practice Address - Fax:303-863-7656
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist