Individual ProviderAdam DixonPharmacistPharmacy Service ProvidersPractice Address401 N 17th St Ste 102, Allentown, PA 18104-5094(610) 435-4706PECOS EnrollmentBased on the most recent information from CMS, provider Adam Dixon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1528682218Provider TypeIndividualFull NameDixon, AdamCredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date5/29/2020Last Updated7/31/2020Contact InformationPractice LocationPractice Address401 N 17th St Ste 102, Allentown, PA 18104-5094Phone(610) 435-4706FaxUnlisted FaxMailing LocationMailing Address401 N 17th St Ste 102, Allentown, PA 18104-5049PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicenseRP452848Pennsylvania