MEDICARE: HELLEN ADCOCK PHARM.D.

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
1	183500000X	Pharmacist	051-287603	IL

General Provider Information

NPI Number	:	1629073564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELLEN ADCOCK PHARM.D.

Provider Business Mailing Address
First Line	:	PO BOX 4000
Second Line	:
City	:	POLACCA
State	:	AZ
Zip	:	86042-4000
Country	:	US
Telephone Number	:	928-737-6207
Fax Number	:

Provider Business Practice Location Address
First Line	:	HWY 264 AT MILEPOST 388
Second Line	:
City	:	POLACCA
State	:	AZ
Zip	:	86042-4000
Country	:	US
Telephone Number	:	928-737-6207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	02/03/2010

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Directions to “ HELLEN ADCOCK PHARM.D.” Practice Location

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