Individual
ADAM OLM-SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4366 BUFFALO RD, NORTH CHILI, NY 14514-1206
(585) 594-5689
(585) 594-5712
Mailing address
137 FIELD ST APT B, ROCHESTER, NY 14620-1944
(913) 660-5024
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
064275
NY
183500000X
Pharmacist
1-102926
KS
183500000X
Pharmacist
2017025931
MO
Other
Enumeration date
01/31/2018
Last updated
01/27/2020
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