Provider Demographics
NPI:1053561571
Name:FIELD, ADAM CHRISTIAN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHRISTIAN
Last Name:FIELD
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 1:2880 N CENTRE CT
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-1203
Mailing Address - Country:US
Mailing Address - Phone:928-772-4938
Mailing Address - Fax:
Practice Address - Street 1:2880 N CENTRE CT
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-1203
Practice Address - Country:US
Practice Address - Phone:928-772-4938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS016881183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist