Provider Demographics
NPI:1124289590
Name:ADAMS, DANIEL BRENT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BRENT
Last Name:ADAMS
Suffix:
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 1:430 E PLEASANT ST STE 2
Mailing Address - Street 2:
Mailing Address - City:CYNTHIANA
Mailing Address - State:KY
Mailing Address - Zip Code:41031-1693
Mailing Address - Country:US
Mailing Address - Phone:859-234-6800
Mailing Address - Fax:859-235-0444
Practice Address - Street 1:430 E PLEASANT ST STE 2
Practice Address - Street 2:
Practice Address - City:CYNTHIANA
Practice Address - State:KY
Practice Address - Zip Code:41031-1693
Practice Address - Country:US
Practice Address - Phone:859-234-6800
Practice Address - Fax:859-235-0444
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY012431183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY012431OtherBOARD OF PHARMACY