Madison Lee Adams, RPH

Individual provider Active NPI Pharmacist · Shiprock, NM

NPI 1255833018 · NPPES record last updated Mar 7, 2018

Key facts

NPI
1255833018
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP451442 (PA)
Practice address
Hwy 491 N
Pharmacy Dept
Shiprock, NM 87420
Phone
(505) 368-6000
NPI assigned
Mar 7, 2018
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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP451442PAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP451442 PA Yes

Addresses

Primary practice location

Hwy 491 N
Pharmacy Dept
Shiprock, NM 87420

Mailing address

1308 Smith LN
Farmington, NM 87401-7635
Phone (330) 401-9333

Other providers in Shiprock, NM

All providers in Shiprock, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.