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NPI Code Detail

MEDICARE: MICHAEL ADKINS

MEDICARE: MICHAEL ADKINS
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
1183500000XPharmacist14603LA

General Provider Information

NPI Number : 1265156954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL ADKINS
Provider Business Mailing Address
First Line : 3102 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4231
Country : US
Telephone Number : 318-635-8159
Fax Number :
Provider Business Practice Location Address
First Line : 3102 LINWOOD AVE
Second Line :
City : SHREVEPORT
State : LA
Zip : 71103-4231
Country : US
Telephone Number : 318-635-8159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2022
Last Update Date : 09/27/2022

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Directions to “ MICHAEL ADKINS ” Practice Location

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