Healthcare Provider Details

I. General information

NPI: 1699889675
Provider Name (Legal Business Name): ADAMS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/08/2025
Certification Date: 06/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1513 EIGHTH ST
WINNSBORO LA
71295-3905
US

IV. Provider business mailing address

1513 EIGHTH ST
WINNSBORO LA
71295-3905
US

V. Phone/Fax

Practice location:
  • Phone: 318-435-9489
  • Fax: 318-435-7006
Mailing address:
  • Phone: 318-435-9489
  • Fax: 318-435-7006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY.0006367-IR
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM GILL
Title or Position: CO-OWNER/PHARMACIST
Credential:
Phone: 318-435-9489