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NPI Code Detail

MEDICARE: AMY NICOLE ADAMS PHARM D

MEDICARE: AMY NICOLE ADAMS 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
1183500000XPharmacist12025NE
2183500000XPharmacist20037IA

General Provider Information

NPI Number : 1124148192
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY NICOLE ADAMS PHARM D
Provider Business Mailing Address
First Line : 802 S 59TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68106-1214
Country : US
Telephone Number : 402-384-9085
Fax Number : 402-391-4924
Provider Business Practice Location Address
First Line : 8809 W CENTER RD
Second Line :
City : OMAHA
State : NE
Zip : 68124-2044
Country : US
Telephone Number : 402-384-9085
Fax Number : 402-391-4924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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Directions to “ AMY NICOLE ADAMS PHARM D” Practice Location

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