Organization
ADAMS PHARMACY LLC
Active
Other names
Adams Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ADAMS PHARMD (OWNER/PHARMACIST IN CHARGE)
(423) 727-1210
Entity
Organization
Contact information
Practice address
851 S SHADY ST, MOUNTAIN CITY, TN 37683-1831
(423) 727-1210
(423) 727-1368
Mailing address
851 S SHADY ST, MOUNTAIN CITY, TN 37683-1831
(423) 727-1210
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
4975
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4444749
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/03/2012
Last updated
10/13/2014
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