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NPI Code Detail

MEDICARE: DR. ADAM FIFE PHARMD

MEDICARE: DR. ADAM FIFE 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
1183500000XPharmacist06015659OH
2183500000XPharmacist021075KY

General Provider Information

NPI Number : 1104460559
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADAM FIFE PHARMD
Provider Business Mailing Address
First Line : 190 N COMBS LN
Second Line :
City : FOUNTAIN RUN
State : KY
Zip : 42133-8597
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 ROGERS RD
Second Line :
City : GLASGOW
State : KY
Zip : 42141-4110
Country : US
Telephone Number : 270-629-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2019
Last Update Date : 10/29/2019

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Directions to “ DR. ADAM FIFE PHARMD” Practice Location

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