Healthcare Provider Details

I. General information

NPI: 1730202755
Provider Name (Legal Business Name): ROBERT FRANCIS ADAMS RPH, PC, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 S SOLANO DR
LAS CRUCES NM
88001-3755
US

IV. Provider business mailing address

551 FT. FILMORE
MESILLA PARK NM
88047-9706
US

V. Phone/Fax

Practice location:
  • Phone: 505-526-1599
  • Fax: 505-524-3528
Mailing address:
  • Phone: 505-527-0933
  • Fax: 505-527-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPC00000026, RP-3943
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: