Doctor Name: | DANIELLE R ADAM |
NPI Number: | 1467834192 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ATC, LAT, CPHT |
License Number: | 008432 |
Business Practice Address: | 602 N Acadia Rd Thibodaux, LA - 703014823 |
Business Phone Number: | 9854475500 |
Business Fax Number: | |
Mailing Address: | 602 N Acadia Rd, THIBODAUX |
State: | LA |
Postal Code: | 703014823 |
Phone Number: | 9854475500 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | 008432 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |