Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LARRY SHANE ADAMS, DPH
Active Sole ProprietorPharmacist Clinician (PhC) · KINGFISHER, OK
Registration Details
- NPI Number
- 1700344587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2019 (7.1137532273675 yrs)
- Last Updated
- Mar 11, 2019
- License
-
11557 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1308 S MAIN STKINGFISHER, OK, 737504408Browse OK providers · Browse ZIP 73750
- Phone
- 4053755400
- Fax
- 4053756333
- Primary Specialty
-
Pharmacist Clinician (PhC)
1835P0018X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.