Provider Demographics
NPI:1427331636
Name:ADAMS, MICHAEL GILBERT (RPH)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:GILBERT
Last Name:ADAMS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7641 LEWIS CT
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-3754
Mailing Address - Country:US
Mailing Address - Phone:720-289-6709
Mailing Address - Fax:
Practice Address - Street 1:6603 WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-3945
Practice Address - Country:US
Practice Address - Phone:720-214-5117
Practice Address - Fax:720-214-5731
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO15221183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist