Deslyn Adams, PHARMD

Individual provider Active NPI Pharmacist · Adel, GA

NPI 1083043897 · NPPES record last updated Nov 2, 2013

Key facts

NPI
1083043897
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
027503 (GA)
Practice address
715 W 4TH St
Adel, GA 31620-2657
Phone
(229) 896-2300
Fax
(229) 896-1350
NPI assigned
Nov 2, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
027503GAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 027503 GA Yes

Addresses

Primary practice location

715 W 4TH St
Adel, GA 31620-2657

Mailing address

1725 Forest Lakes Ave SE
Atlanta, GA 30317-3242
Phone (404) 293-3875

Other providers in Adel, GA

All providers in Adel, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.