MEDICARE: MR. ADAM JACOB DUNN PHARMD

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	183500000X	Pharmacist	RP0014218	WV

General Provider Information

NPI Number	:	1598593444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ADAM JACOB DUNN PHARMD

Provider Business Mailing Address
First Line	:	11 HARNESS RD
Second Line	:
City	:	MOOREFIELD
State	:	WV
Zip	:	26836-8600
Country	:	US
Telephone Number	:	304-538-3483
Fax Number	:

Provider Business Practice Location Address
First Line	:	11 HARNESS RD
Second Line	:
City	:	MOOREFIELD
State	:	WV
Zip	:	26836-8600
Country	:	US
Telephone Number	:	304-538-3481
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/23/2024
Last Update Date	:	01/26/2026

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