Individual provider · NPI-1

Ethan Adams, PharmD

Pharmacist · Spokane, WA

NPI number1487926051
StatusActive
Last updated in NPPESApr 3, 2017

Details

NPI
1487926051
Entity type
Individual (NPI-1)
Name
Ethan Adams
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 30, 2012
Last updated
Apr 3, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist6124567-1701UTYes
183500000X PharmacistRPH-0015237OR
183500000X PharmacistPH60600455WA

Practice location

6 E 1st Ave
Spokane, WA 99202-1503

Phone 509-624-3017 · Fax 509-624-4330

Mailing address

6 E 1st Ave
Spokane, WA 99202-1503

Phone 509-624-3017 · Fax 509-624-4330

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