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NPI Code Detail

MEDICARE: SHELBY MICHELLE ADAMS PHARMD

MEDICARE: SHELBY MICHELLE ADAMS PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist65298TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165298OTHERTXTSBP

General Provider Information

NPI Number : 1063060804
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY MICHELLE ADAMS PHARMD
Provider Business Mailing Address
First Line : 3425 COTTAGE CT
Second Line :
City : TYLER
State : TX
Zip : 75701-7068
Country : US
Telephone Number : 903-651-1286
Fax Number :
Provider Business Practice Location Address
First Line : 6991 OLD JACKSONVILLE HWY
Second Line :
City : TYLER
State : TX
Zip : 75703-0579
Country : US
Telephone Number : 903-747-3508
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2019
Last Update Date : 07/29/2021

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Directions to “ SHELBY MICHELLE ADAMS PHARMD” Practice Location

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