Organization
ADAM LLC
Active
Other names
Pharmacy One
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAIL ABUHANIEH (RPH/OWNER)
(937) 496-7000
Entity
Organization
Contact information
Practice address
201 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2650
(937) 496-7000
(937) 496-7004
Mailing address
201 N YELLOW SPRINGS ST, SPRINGFIELD, OH 45504-2650
(937) 496-7000
(937) 496-7004
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RTP.022018450-3
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2124043
PK
—
Enumeration date
03/09/2010
Last updated
07/05/2016
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