Provider Demographics
NPI:1588399646
Name:ADAMS-LOVELACE, VICKIE LYNETTE (RPH)
Entity type:Individual
Prefix:
First Name:VICKIE
Middle Name:LYNETTE
Last Name:ADAMS-LOVELACE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 S RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-1313
Mailing Address - Country:US
Mailing Address - Phone:434-791-4880
Mailing Address - Fax:434-792-1725
Practice Address - Street 1:133 S RIDGE ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1313
Practice Address - Country:US
Practice Address - Phone:434-791-4880
Practice Address - Fax:434-792-1725
Is Sole Proprietor?:No
Enumeration Date:2022-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202011002183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist