Individual provider · NPI-1

Izell Ricardo Adams, nuclear pharmacy

Pharmacist, Nuclear · Tampa, FL

NPI number1508207002
StatusActive
Last updated in NPPESJul 12, 2013

Details

NPI
1508207002
Entity type
Individual (NPI-1)
Name
Izell Ricardo Adams
Credential
nuclear pharmacy
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 12, 2013
Last updated
Jul 12, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1835N0905X Pharmacist, Nuclearnp367FLYes
183500000X Pharmacistps21238FL

Practice location

7023 Waterside Dr
Tampa, FL 33617-7362

Phone 813-404-5448

Mailing address

7023 Waterside Dr
Tampa, FL 33617-7362

Phone 813-404-5448

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist, Nuclear providers in Tampa, FL