IndividualActive
Adam Ivie
NPI 1982045787 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Poplar Bluff, MO
Provider details
- NPI number
- 1982045787
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 2013022773 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3240 Sky Line Dr
Poplar Bluff, MO 63901-2088
Phone: (573) 718-6243
Approximate (ZIP-level) locationGet directions
Mailing address
1500 N Westwood Blvd
Poplar Bluff, MO 63901-3318
Registry dates
- Enumerated
- 2013-07-10
- Last updated
- 2013-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.