Ivie, Adam Michael

Ivie, Adam Michael is an individual health care provider with primary practice located at 3240 Sky Line Dr , Poplar Bluff MO 63901-2088. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Ivie, Adam Michael can be contacted via phone (573) 718-6243.

Contact Information

Primary practice address
3240 Sky Line Dr Poplar Bluff MO 63901-2088
Phone: (573) 718-6243
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 2013022773 Missouri

Profile Details

NPI number 1982045787
LBN Legal business name Ivie, Adam Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Oct 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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