MEDICARE: CHARISSA KAPREI 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
1	183500000X	Pharmacist	S026665	SC

General Provider Information

NPI Number	:	1841076916
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARISSA KAPREI ADAMS RPH

Provider Business Mailing Address
First Line	:	3235 W DUNBAR DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-5052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3235 W DUNBAR DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-5052
Country	:	US
Telephone Number	:	480-369-4769
Fax Number	:

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

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	09/05/2023

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Directions to “ CHARISSA KAPREI ADAMS RPH” Practice Location

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