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Individual

DAVID ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
30148 W COLON RD, COLON, MI 49040-9523
(574) 298-3560
Mailing address
30148 W COLON RD, COLON, MI 49040-9523
(574) 298-3560

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302028405
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26018166A
INDIANA BOARD OF PHARMACY
IN
01
5302028405
MICHIGAN BOARD OF PHARMACY
MI
Enumeration date
12/21/2020
Last updated
12/21/2020
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