Individual ProviderAdam DeletetskyPharmacistPharmacy Service ProvidersPractice Address495 State Rd, North Dartmouth, MA 02747-1801(508) 994-4236PECOS EnrollmentBased on the most recent information from CMS, provider Adam Deletetsky 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 2 days ago.Profile DetailsProvider ID1962784744Provider TypeIndividualFull NameDeletetsky, AdamTitleDr.CredentialPHARMDGenderMaleSole ProprietorNoEnumeration Date9/16/2011Last Updated9/16/2011Contact InformationPractice LocationPractice Address495 State Rd, North Dartmouth, MA 02747-1801Phone(508) 994-4236Fax(508) 992-0716Mailing LocationMailing Address495 State Rd, North Dartmouth, MA 02747-1801Phone(508) 994-4236Fax(508) 992-0716Provider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicensePH27726Rhode Island