Healthcare Provider Details

I. General information

NPI: 1316126220
Provider Name (Legal Business Name): WAYNE DANIEL ADKINS SR. R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 08/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6007 ALLENTOWN BLVD
HARRISBURG PA
17112-2602
US

IV. Provider business mailing address

6007 ALLENTOWN BLVD
HARRISBURG PA
17112-2602
US

V. Phone/Fax

Practice location:
  • Phone: 717-540-5893
  • Fax: 717-540-5663
Mailing address:
  • Phone: 717-540-5893
  • Fax: 717-540-5663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License NumberRP044669L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: