Provider Demographics
NPI:1063750156
Name:SPENCER, ADRIAN EUGENE II (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADRIAN
Middle Name:EUGENE
Last Name:SPENCER
Suffix:II
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 GOLF COURSE RD
Mailing Address - Street 2:APT 1903
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-5206
Mailing Address - Country:US
Mailing Address - Phone:910-514-6602
Mailing Address - Fax:
Practice Address - Street 1:120 CARBON CITY RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4226
Practice Address - Country:US
Practice Address - Phone:828-437-3833
Practice Address - Fax:828-433-8507
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist