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NPI Code Detail

MEDICARE: MR. PAT ADAMS RPH

MEDICARE: MR. PAT ADAMS RPH
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
1183500000XPharmacist16713LA

General Provider Information

NPI Number : 1205142577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAT ADAMS RPH
Provider Business Mailing Address
First Line : 1102 PARKVIEW DR
Second Line :
City : NEW IBERIA
State : LA
Zip : 70563-2883
Country : US
Telephone Number : 337-560-1807
Fax Number : 337-560-4129
Provider Business Practice Location Address
First Line : 1102 PARKVIEW DR
Second Line :
City : NEW IBERIA
State : LA
Zip : 70563-2883
Country : US
Telephone Number : 337-560-1807
Fax Number : 337-560-4129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2010
Last Update Date : 08/25/2010

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