MEDICARE: ADHERERX INCORPORATED

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	3336C0003X	Community/Retail Pharmacy
2	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1134757503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADHERERX INCORPORATED

Provider Business Mailing Address
First Line	:	501 CORPORATE CENTRE DR STE 400
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-2788
Country	:	US
Telephone Number	:	615-312-7071
Fax Number	:

Provider Business Practice Location Address
First Line	:	1343 N COLORADO ST STE 109
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-1618
Country	:	US
Telephone Number	:	919-463-5555
Fax Number	:

Authorized Official
Title or Position	:	CEO & PRESIDENT
Name	:	JASON Z ROSE
Credential	:
Telephone Number	:	615-346-0880

Provider Enumeration Date	:	03/31/2020
Last Update Date	:	04/01/2020

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Directions to “ADHERERX INCORPORATED ” Practice Location

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