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NPI Code Detail

MEDICARE: ADAM LLC

MEDICARE: ADAM LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies
23336C0003XCommunity/Retail PharmacyRTP.022018450-3OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12124043OTHERPK

General Provider Information

NPI Number : 1154644920
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADAM LLC
Provider Business Mailing Address
First Line : 201 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2650
Country : US
Telephone Number : 937-496-7000
Fax Number : 937-496-7004
Provider Business Practice Location Address
First Line : 201 N YELLOW SPRINGS ST
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45504-2650
Country : US
Telephone Number : 937-496-7000
Fax Number : 937-496-7004
Authorized Official
Title or Position : RPH/OWNER
Name : ISMAIL ABUHANIEH
Credential :
Telephone Number : 937-496-7000
Provider Enumeration Date : 03/09/2010
Last Update Date : 07/05/2016

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Directions to “ADAM LLC ” Practice Location

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