NPI 1396015624

Edgar Leon Adams

Practitioner Pharmacist Gulfport, FL

Practice location

Address: 5701 Gulfport Blvd S, Gulfport, FL 33707-4834
Phone: (727) 344-3701
Fax: (727) 343-1501

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence PS17397 (FL)

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Registry record

NPI: 1396015624
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jan 2012
Record last updated: 3 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.